# ALLERGY AND ASTHMA CARECENTER SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225234206
- **Authorized official:** DR. DANIEL W PALMER MD (PRESIDENT)
- **Authorized official phone:** (309) 672-3158

## Contact information

- **Practice address:** 120 NE GLEN OAK AVE, SUITE 408, PEORIA, IL 61603-4314
- **Practice address phone:** (309) 672-3158
- **Practice address fax:** (309) 672-3114
- **Mailing address:** 120 NE GLEN OAK AVE, SUITE 408, PEORIA, IL 61603-4314
- **Mailing address phone:** (309) 672-3158
- **Mailing address fax:** (309) 672-3114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 042.007061036.047262 | IL | Yes |

## Other

- **Enumeration date:** 06/26/2007
- **Last updated:** 08/02/2007