| West Central Allergy Center S.c. | |
|
2514 W Scenic Dr Peoria IL 61615-3825 | |
| (309) 685-1038 | |
| Not Available |
| Full Name | West Central Allergy Center S.c. |
|---|---|
| Speciality | Clinic/center |
| Location | 2514 W Scenic Dr, Peoria, Illinois |
| Authorized Official Name and Position | Danilo Gungon Capati (PRESIDENT) |
| Authorized Official Contact | 3096851038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Central Allergy Center S.c. 2514 W Scenic Dr Peoria IL 61615-3825 Ph: (309) 685-1038 | West Central Allergy Center S.c. 2514 W Scenic Dr Peoria IL 61615-3825 Ph: (309) 685-1038 |
| NPI Number | 1780863910 |
|---|---|
| Provider Enumeration Date | 10/24/2007 |
| Last Update Date | 02/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780863910 | NPI | - | NPPES |
| 0007232040 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Illinois) | Primary |
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