# ALLERGY AND ASTHMA ASSOCIATES OF JOLIET, S.C.

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

## Provider details

- **NPI number:** 1932380078
- **Authorized official:** DR. VORAPHOT SATHISSARAT MD (HEAD OF CORPORATION)
- **Authorized official phone:** (815) 741-1212

## Contact information

- **Practice address:** 2000 GLENWOOD AVE, SUITE 100, JOLIET, IL 60435-5676
- **Practice address phone:** (815) 741-1212
- **Practice address fax:** (815) 741-0707
- **Mailing address:** 2000 GLENWOOD AVE, SUITE 100, JOLIET, IL 60435-5676
- **Mailing address phone:** (815) 741-1212
- **Mailing address fax:** (815) 741-0707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 036046328 | IL | Yes |

## Other

- **Enumeration date:** 11/16/2007
- **Last updated:** 11/02/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036046328 | — | IL |
| 01 | — | 09932417 | BCBS | IL |