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Contact Information

ADVANCED ALLERGY & ASTHMA CLINIC S C
402 W BOUGHTON RD
SUITE F-1
BOLINGBROOK, IL60440-1872
 Phone: 630-378-4014
 Fax: 630-378-4784
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
Indicates primary specialty

NPI Profile & details for ADVANCED ALLERGY ASTHMA CLINIC S C · (Female)

NPI Number 1467669374
Status Active
Credentials
Entity Individual
Enumeration date 05/17/2007
Last updated 03/22/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL Medicaid 036077398
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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