Advanced Allergy & Ent, LLC

NPI #1346449022 in Rockford, Illinois

Provider Information

NPI Number: 1346449022
Entity Type: Organization
Organization Name: Advanced Allergy & Ent, LLC
Primary Specialty: Otolaryngology
Enumeration Date: Jul 13, 2007
Last Updated: Sep 28, 2007

Practice Location

Address: 1235 N MULFORD RD
Address 2: SUITE 100
City: Rockford
State: Illinois
ZIP Code: 61107-3879
Phone: (815) 484-9900

Authorized Official

Name: ANDREW I JUN, MD
Title: PRESIDENT/CEO
Phone: (815) 222-1900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Allergy & Immunology - Allergy — Allergy	207KA0200X
Otolaryngology - Otolaryngology/Facial Plastic Surgery — Otolaryngology/Facial Plastic Surgery	207YX0905X
Otolaryngology - Plastic Surgery within the Head & Neck — Plastic Surgery within the Head & Neck	207YX0007X
Otolaryngology	207Y00000X	Primary

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