# ADVANCED ALLERGY & ASTHMA ASSOCIATES SC

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

## Provider details

- **NPI number:** 1629122403
- **Authorized official:** DR. NOGA ASKENAZI MD (OWNER)
- **Authorized official phone:** (847) 888-8802

## Contact information

- **Practice address:** 730 E TERRA COTTA AVE, SUITE A, CRYSTAL LAKE, IL 60014-3615
- **Practice address phone:** (847) 888-8802
- **Practice address fax:** (866) 246-1164
- **Mailing address:** 730 E TERRA COTTA AVE, SUITE A, CRYSTAL LAKE, IL 60014-3615
- **Mailing address phone:** (847) 888-8802
- **Mailing address fax:** (866) 246-1164

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/22/2007
- **Last updated:** 02/17/2017