Organization
ALLERGY AND ASTHMA CARECENTER SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL W PALMER MD (PRESIDENT)
(309) 672-3158
Entity
Organization
Contact information
Practice address
120 NE GLEN OAK AVE, SUITE 408, PEORIA, IL 61603-4314
(309) 672-3158
(309) 672-3114
Mailing address
120 NE GLEN OAK AVE, SUITE 408, PEORIA, IL 61603-4314
(309) 672-3158
(309) 672-3114
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
042.007061036.047262
IL
Other
Enumeration date
06/26/2007
Last updated
08/02/2007
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