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Organization
SOUTHTOWN ALLERGY AND ASTHMA CARE, PC
Active
Organization
SOUTHTOWN ALLERGY AND ASTHMA CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIGUEL JAEN ALCORDO (MD)
(708) 945-6332
Entity
Organization
Contact information
Practice address
18210 LA GRANGE RD, SUITE 201, TINLEY PARK, IL 60487-7722
(708) 945-6328
Mailing address
18210 LA GRANGE RD STE 201, TINLEY PARK, IL 60487-7725
(708) 945-6328
(708) 478-1286
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
036083285
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036083285
LICENSE
IL
Enumeration date
03/17/2008
Last updated
12/23/2025
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