Organization
MIDWEST ALLERGY & ASTHMA CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAHEED MALIK QAYYUM M.D. (OWNER)
(630) 655-1212
Entity
Organization
Contact information
Practice address
6827 KINGERY HWY, WILLOWBROOK, IL 60527-5154
(630) 655-1212
(630) 655-6945
Mailing address
6827 KINGERY HWY, WILLOWBROOK, IL 60527-5154
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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