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Organization

ALLERGY & CLINICAL IMMUNOLOGY INC

Active
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Organization

ALLERGY & CLINICAL IMMUNOLOGY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MOHAMMAD TARIQ GHANI MD (PRESIDENT)
(708) 361-0730
Entity
Organization

Contact information

Practice address
7808 W COLLEGE DR, SUITE 1SW, PALOS HEIGHTS, IL 60463-1027
(708) 361-0730
(708) 361-0740
Mailing address
7808 W COLLEGE DR, SUITE 1SW, PALOS HEIGHTS, IL 60463-1027
(708) 361-0730
(708) 361-0740

Taxonomy

Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
036-0505567
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
216213036
BC/BS
IL
Enumeration date
06/10/2008
Last updated
10/14/2008
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