Organization
ADVANCED ALLERGY & ASTHMA CLINIC S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAVEED AKHTAR MD (OWNER)
(630) 378-4014
Entity
Organization
Contact information
Practice address
402 W BOUGHTON RD, SUITE F-1, BOLINGBROOK, IL 60440-1872
(630) 378-4014
(630) 378-4784
Mailing address
402 W BOUGHTON RD, SUITE F-1, BOLINGBROOK, IL 60440-1872
(630) 378-4014
(630) 378-4784
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036077398
—
IL
Enumeration date
05/17/2007
Last updated
03/22/2012
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