| NPI | 1790949980 |
|---|---|
| Doing Business As | PANACEA ALLERGY, ASTHMA & IMMUNOLOGY |
| Entity Type | Organization |
| Authorized Contact | LISA MARIE SULLIVAN Owner 847-805-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 036107599) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2023-12-12 |