Organization
SOUTHWEST ALLERGY ASSOCIATES.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOURDES D. FLORO M.D. (PHYSICIAN)
(708) 422-4848
Entity
Organization
Contact information
Practice address
5423 W 95TH ST, OAK LAWN, IL 60453-3789
(708) 422-4848
(708) 422-7342
Mailing address
5423 W 95TH ST, OAK LAWN, IL 60453-3789
(708) 422-4848
(708) 422-7342
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21603560
BCBS
IL
Enumeration date
10/02/2006
Last updated
10/11/2007
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