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Organization
ALLERGY EAR NOSE THROAT,LTD
Active
Organization
ALLERGY EAR NOSE THROAT,LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELO ROBERT CONSIGLIO MD (OWNER)
(630) 675-6700
Entity
Organization
Contact information
Practice address
1034 WARREN AVE, DOWNERS GROVE, IL 60515-3601
(630) 969-9200
Mailing address
2320 DEAN ST STE 103, ST CHARLES, IL 60175-1068
(630) 377-0106
(630) 377-1186
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
207Y00000X
Otolaryngology Physician
—
—
Other
Enumeration date
05/23/2006
Last updated
05/21/2008
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