Organization Name: | ALLERGY & CL IMMUNOLOGY CENTER |
NPI Number: | 1043471899 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MOHAMMAD TARIQ GHANI (PRESIDENT) |
Mailing Address: | 10001 W Roosevelt Rd Suite 304 Westchester |
State: | IL US |
Postal Code: | 601542664 |
Phone Number: | 7083443550 |
Fax Number: | 7083446577 |
NPI Enumeration Date: | 06/24/2008 |
NPI Last Update Date: | 10/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RA0201X |
License Number: | 036050567 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Allergy & Immunology |
Taxonomy Definition: | An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |