Organization
ALLERGY & ASTHMA FAMILY CLINIC, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIGUEL CAMARA M.D. (PRESIDENT)
(630) 325-2037
Entity
Organization
Contact information
Practice address
5423 W 95TH ST, OAK LAWN, IL 60453-3789
(708) 422-4848
(708) 422-7342
Mailing address
454 S CLAY ST, HINSDALE, IL 60521-4036
(630) 325-2037
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
042618061
IL
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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