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General NPI Number Information
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NPI Number | 1275483653
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Entity Type | Organization
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Legal Business Name | CRESCENT ALLERGY SC
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Dates
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Enumeration Date | 02/03/2026
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 7600 W COLLEGE DR STE 3
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-2199
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Country | US
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Telephone | 708-636-9611
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Fax |
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Provider Business Mailing Address
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Address Line | 7600 W COLLEGE DR STE 3
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-2199
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. YUSAF HUSSAIN
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Credential | DO
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Telephone | 302-279-0290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number |
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License Number State |
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