Western Illinois Ent and Allergy

NPI #1689751356 in Streator, Illinois

Provider Information

NPI Number: 1689751356
Entity Type: Organization
Organization Name: Western Illinois Ent and Allergy
Primary Specialty: Otolaryngology
Enumeration Date: Nov 1, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 104 W 6TH ST
Address 2: SUITE 303
City: Streator
State: Illinois
ZIP Code: 61364-2899
Phone: (815) 673-6368

Authorized Official

Name: DR. CHARLES DICKERSON, MD
Title: OWNER
Phone: (815) 673-6368

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Allergy & Immunology - Allergy — Allergy	207KA0200X
Otolaryngology	207Y00000X	Primary

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