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General NPI Number Information
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NPI Number | 1366743924
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Entity Type | Organization
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Legal Business Name | MIDWEST ALLERGY INC
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Dates
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Enumeration Date | 11/12/2010
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 10031 W ROOSEVELT RD STE 100
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City | WESTCHESTER
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State | IL
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Zip | 60154-2669
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Country | US
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Telephone | 708-344-3550
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Fax | 708-344-6577
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Provider Business Mailing Address
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Address Line | 10031 W ROOSEVELT RD STE 100
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City | WESTCHESTER
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State | IL
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Zip | 60154-2669
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Country | US
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Telephone | 708-344-3550
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Fax | 708-344-6577
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. KATHY DELNERO
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Credential |
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Telephone | 708-344-3550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 036-050567
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License Number State | IL
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