West Central Allergy Center S.c.

NPI #1780863910 in Peoria, Illinois

Provider Information

NPI Number
1780863910
Entity Type
Organization
Organization Name
West Central Allergy Center S.c.
Primary Specialty
Clinic/Center
Enumeration Date
Oct 24, 2007
Last Updated
Feb 5, 2008

Practice Location

Address
2514 W SCENIC DR
City
Peoria
ZIP Code
61615-3825
Phone
(309) 685-1038

Authorized Official

Name
DANILO GUNGON CAPATI, M.D.
Title
PRESIDENT
Phone
(309) 685-1038

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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