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Organization

ILLINOIS INSTITUTE OF ALLERGY AND ASTHMA SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SCOTT I SONG M.D. (OWNER)
(847) 362-0691
Entity
Organization

Contact information

Practice address
6 E. PHILLIP RD., SUITE 1105, VERNON HILLS, IL 60061-1700
(847) 362-0691
(847) 362-0694
Mailing address
6 E. PHILLIP RD., SUITE 1105, VERNON HILLS, IL 60061-1700
(847) 362-0691
(847) 362-0694

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036079245
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
31603499
BCBS
IL
01
L023777
CHAMPUS
IL
Enumeration date
05/11/2007
Last updated
04/24/2008
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