| NPI | 1134485055 |
|---|---|
| Doing Business As | PREMIER ALLERGY, ASTHMA AND SINUS SC |
| Entity Type | Organization |
| Authorized Contact | JOHN G LATALL President 773-665-4016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy |
| Additional Taxonomies | 261QM2500X Clinic/Center Medical Specialty (Licence: IL 036-084430) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2022-10-05 |