Organization
SOUTHTOWN ALLERGY AND ASTHMA CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIGUEL JAEN ALCORDO (MD)
(708) 945-6332
Entity
Organization
Contact information
Practice address
18210 LA GRANGE RD, SUITE 201, TINLEY PARK, IL 60487-7722
(708) 945-6328
Mailing address
18210 LA GRANGE RD STE 201, TINLEY PARK, IL 60487-7725
(708) 945-6328
(708) 478-1286
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
036083285
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036083285
LICENSE
IL
Enumeration date
03/17/2008
Last updated
12/23/2025
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