Organization Name: | MIDWEST ALLERGY AND ASTHMA SPECIALISTS |
NPI Number: | 1104969047 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANJAY C PATEL (PRESIDENT) |
Mailing Address: | 6743 Kingery Hwy Willowbrook |
State: | IL US |
Postal Code: | 605275142 |
Phone Number: | 6307892560 |
Fax Number: | |
NPI Enumeration Date: | 02/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207KA0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Allergy & Immunology |
Taxonomy Specialization: | Allergy |
Taxonomy Definition: |