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Organization
DUKANE ALLERGY ASSOCIATES. LTD
Active
Organization
DUKANE ALLERGY ASSOCIATES. LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIRGINIA P MADLA MD (CEO)
(630) 584-6127
Entity
Organization
Contact information
Practice address
2900 FOXFIELD RD, SUITE 206, ST CHARLES, IL 60174-5799
(630) 584-6127
(630) 584-6070
Mailing address
2900 FOXFIELD RD, SUITE 206, ST CHARLES, IL 60174-5799
(630) 584-6127
(630) 584-6070
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
50783138
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4515125
BLUE CROSS/BLUE SHIELD
IL
Enumeration date
08/10/2007
Last updated
03/06/2008
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