Organization
ADVANCED ALLERGY & ASTHMA CARE S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMEE MAJMUNDAR M.D. (PHYSICIAN)
(708) 460-7355
Entity
Organization
Contact information
Practice address
15300 WEST AVE, SUITE 204, EAST BUILDING, ORLAND PARK, IL 60462-4600
(708) 460-7355
Mailing address
15300 WEST AVENUE, SUITE 204, EAST BUILDING, ORLAND PARK, IL 60462
(708) 460-7355
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
036112759
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635439
BLUE CROSS PPO
IL
01
—
7254711
AETNA
IL
Enumeration date
05/03/2007
Last updated
08/04/2008
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