Organization
WESTERN ILLINOIS ENT AND ALLERGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES DICKERSON MD (OWNER)
(815) 673-6368
Entity
Organization
Contact information
Practice address
104 W 6TH ST, SUITE 303, STREATOR, IL 61364-2899
(815) 673-6368
(866) 262-4460
Mailing address
104 W 6TH ST, SUITE 303, STREATOR, IL 61364-2899
(815) 673-6368
(866) 262-4460
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
36055109
IL
207Y00000X
Otolaryngology Physician
Primary
36055109
IL
Other
Enumeration date
11/01/2006
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us