Western Illinois Ent And Allergy in Streator - Allergy
Western Illinois Ent And Allergy - NPI 1689751356
Western Illinois Ent And Allergy is a Allergy in Streator, Illinois. Western Illinois Ent And Allergy practices all healthcare services and medical treatments related to Allergy. The NPI Number for Western Illinois Ent And Allergy is 1689751356. The last update date is 2020-08-22.
Western Illinois Ent And Allergy's current location address is 104 W 6th St, Streator, Illinois. You can contact this provider via phone number 8156736368 and fax number 8662624460. The mailing address for Western Illinois Ent And Allergy is 104 W 6th St, Streator, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Western Illinois Ent And Allergy |
|---|---|
| Address | 104 W 6th St, Streator, Illinois |
| Phone Number | 8156736368 |
| Fax Number | 8662624460 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Dickerson Charles |
| Credentials | MD |
| Telephone Number | 8156736368 |
NPI Number Detail
| NPI Number | 1689751356 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 104 W 6th St |
|---|---|
| City | Streator |
| State | Illinois (IL) |
| Post Code | 613642899 |
| Phone Number | 8156736368 |
| Fax Number | 8662624460 |
Provider's Primary Taxonomy Detail
| Speciality | Allergy |
|---|---|
| Taxonomy | 207Ka0200X |
| Licence No | 36055109 |
|
Definition: A physician who specializes in the diagnosis, treatment, and management of allergies. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Western Illinois Ent And Allergy by the Centers for Medicare & Medicaid Services?
The Western Illinois Ent And Allergy has been issued the NPI (National Provider Identifier) 1689751356, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Western Illinois Ent And Allergy's physical address?
The Western Illinois Ent And Allergy is physically located at 104 W 6Th St, in the city of Streator, IL, with the postal code 613642899.
What is Western Illinois Ent And Allergy's specialized field of practice, and what is the corresponding taxonomy classification code?
The Western Illinois Ent And Allergy's area of specialization is Allergy, and the corresponding taxonomy code that categorizes this field of practice is 207Ka0200X.
On what date was the 1689751356 assigned to Western Illinois Ent And Allergy?
The Western Illinois Ent And Allergy was issued its 1689751356 on 2006-11-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Western Illinois Ent And Allergy, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Western Illinois Ent And Allergy, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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