West Central Allergy Center S.C.

LBN: West Central Allergy Center S.C.
West Central Allergy Center S.C. is an health care organization with primary practice located at 2514 W Scenic Dr , Peoria IL 61615-3825. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. West Central Allergy Center S.C. can be contacted via phone (309) 685-1038, or through Capati, Danilo Gungon via phone (309) 685-1038.

Contact Information

Primary practice address
2514 W Scenic Dr Peoria IL 61615-3825
Phone: (309) 685-1038
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Capati, Danilo Gungon Doctor of Medicine (MD)
Phone: (309) 685-1038

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X Illinois

Profile Details

NPI number 1780863910
LBN Legal business name West Central Allergy Center S.C.
DBA Doing business as
Authorized official Capati, Danilo Gungon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2007
Last updated Feb 5th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780863910 NPPES
Illinois Other 0007232040 BLUE CROSS BLUE SHIELD

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