Organization
INFECTIOUS DISEASE ASSOCIATES & TRAVEL MEDICINE SC
Active
Organization
INFECTIOUS DISEASE ASSOCIATES & TRAVEL MEDICINE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA ANN WOLLENSCHLAGER M.D. (PRESIDENT)
(630) 971-9275
Entity
Organization
Contact information
Practice address
3825 HIGHLAND AVE, SUITE 3F TOWER I, DOWNERS GROVE, IL 60515-1552
(630) 971-9275
(630) 971-9293
Mailing address
3825 HIGHLAND AVE, SUITE 3F TOWER I, DOWNERS GROVE, IL 60515-1552
(630) 971-9275
(630) 971-9293
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4E-036065297
—
IL
Enumeration date
07/24/2008
Last updated
07/24/2008
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