Organization
WEST SUBURBAN INFECTIOUS DISEASE SPECIALISTS SC
Active
Organization
WEST SUBURBAN INFECTIOUS DISEASE SPECIALISTS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAUSICA D'ALFONSO- LAGHI MD (OWNER)
(630) 267-4255
Entity
Organization
Contact information
Practice address
1111 SUPERIOR ST STE 409, MELROSE PARK, IL 60160-4159
(708) 410-2880
(708) 410-2884
Mailing address
1111 SUPERIOR ST STE 409, MELROSE PARK, IL 60160-4159
(708) 410-2880
(708) 410-2884
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
042617977
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01632409
BCBS
—
Enumeration date
10/04/2006
Last updated
10/31/2024
Update your record
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