NPI | 1750522710 |
---|---|
Former Legal Business Name | ALLERGY & IMMUNOLOGY CENTER |
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 085-001462) |
207RA0201X Internal Medicine, Allergy & Immunology (Licence: IL 085-001419) | |
Enumeration Date | 2009-03-20 |
Last Update Date | 2009-03-20 |