ALLERGY & ASTHMA OF ILLINOIS SC

PEORIA, IL
NPI1194712547
Entity TypeOrganization
Authorized ContactSTEPHEN J SMART
President
309-691-5200
Organization Subpart ?No
Primary Taxonomy207K00000X Allergy & Immunology
(Licence: IL  042008003)
Enumeration Date2005-09-30
Last Update Date2010-01-26
Business Address
ALLERGY & ASTHMA OF ILLINOIS SC
6615 N BIG HOLLOW RD
PEORIA, IL 61615-2450
Phone number: 309-691-5200
Mailing Address
ALLERGY & ASTHMA OF ILLINOIS SC
6615 N BIG HOLLOW RD
PEORIA, IL 61615-2450
Phone number: 309-691-5200