| NPI | 1598905515 |
|---|---|
| Former Legal Business Name | ALLERGY & CL IMMUNOLOGY |
| Entity Type | Organization |
| Authorized Contact | NINA THOMPSON Office Manager 708-344-3550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: IL 036-050567) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: IL 036-094388) |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: IL 209006436) | |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: IL 085-001462) | |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2009-03-03 |