Organization
ALLERCLINIC,LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANA LIM DY M.D. (PRESIDENT)
(815) 459-5440
Entity
Organization
Contact information
Practice address
25 S VIRGINIA ST, SUITE 203, CRYSTAL LAKE, IL 60014-5806
(815) 459-5440
Mailing address
25 SOUTH VIRGINIA STREET, SUITE 203, CRYSTAL LAKE, IL 60014-5800
(815) 459-5440
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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