WEST TOWN MEDICAL ASSOCIATES,SC

CHICAGO, IL
NPI1972784429
Entity TypeOrganization
Authorized ContactJULIO LARA VALLE
President
312-829-4636
Organization Subpart ?No
Primary Taxonomy207KA0200X Allergy & Immunology, Allergy
(Licence: IL  036045262)
Additional Taxonomies261Q00000X Clinic/Center
(Licence: IL  042002574)
Enumeration Date2007-11-26
Last Update Date2007-11-26
Business Address
WEST TOWN MEDICAL ASSOCIATES,SC
1859 W CHICAGO AVE
CHICAGO, IL 60622-5513
Phone number: 312-829-4636
Mailing Address
WEST TOWN MEDICAL ASSOCIATES,SC
3 NORRIS DR
BURR RIDGE, IL 60527-5124
Phone number: 630-655-0544