Organization
CENTER FOR ASTHMA & ALLERGY, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOLLY THOMAS MD (PRESIDENT)
(773) 283-9594
Entity
Organization
Contact information
Practice address
4014 N CENTRAL AVE, CHICAGO, IL 60634-1832
(773) 283-9594
(773) 283-6711
Mailing address
4014 N CENTRAL AVE, CHICAGO, IL 60634-1832
(773) 283-9594
(773) 283-6711
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036062674
—
IL
Enumeration date
10/21/2014
Last updated
10/22/2014
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