Organization · Type 2 NPI
Presence Healthcare Services
Allergy & Immunology (Internal Medicine) Physician · Chicago, IL
Practice location
2800 N Sheridan Rd, Suite 309
Chicago, IL 60657-6156
Fax (773) 883-1202
Mailing address
1000 Remington Boulevard
Bolingbrook, IL 60440-0000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 036043445 (IL) |
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | 036043445 (IL) |
| Allergy & Immunology (Internal Medicine) Physician Primary | 207RA0201X | None listed |
Allergy & Immunology (Internal Medicine) Physician: An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.
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About NPI 1790078053
Presence Healthcare Services's National Provider Identifier is 1790078053, issued on May 19, 2011. The primary taxonomy on file is Allergy & Immunology (Internal Medicine) Physician (207RA0201X), and the practice location is in Chicago, IL. The record was last updated on Apr 10, 2013.