Allergy and Asthma Clinic Sc

NPI #1710095385 in Joliet, Illinois

Provider Information

NPI Number: 1710095385
Entity Type: Organization
Organization Name: Allergy and Asthma Clinic Sc
Primary Specialty: Allergy & Immunology - Allergy
Enumeration Date: Aug 25, 2006
Last Updated: Sep 4, 2007

Practice Location

Address: 229 N HAMMES AVE
City: Joliet
State: Illinois
ZIP Code: 60435-8100
Phone: (815) 744-2300

Authorized Official

Name: THEODORE M KANELLAKES, MD
Title: DR
Phone: (815) 744-2300

Specialties & Taxonomy Codes

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

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