Organization Name: | ALLERGY & ASTHMA CONSULTANTS, LTD. |
NPI Number: | 1093892457 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEVIN E NEWTON (OFFICE MANAGER) |
Mailing Address: | 36100 N Brookside Dr Suite 203 Gurnee |
State: | IL US |
Postal Code: | 600314571 |
Phone Number: | 8478551570 |
Fax Number: | 8478551890 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 02/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207KA0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Allergy & Immunology |
Taxonomy Specialization: | Allergy |
Taxonomy Definition: |