Organization
MIDWEST ALLERGY SINUS ASTHMA S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELIQUE DOZIER (DIRECTOR OF OPERATIONS)
(309) 452-0995
Entity
Organization
Contact information
Practice address
2010 JACOBSSEN DR, NORMAL, IL 61761-6280
(309) 452-0995
(309) 862-0961
Mailing address
2010 JACOBSSEN DR, NORMAL, IL 61761-6280
(309) 452-0995
(309) 862-0961
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/17/2013
Last updated
03/15/2022
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