NPI 1821211491

Prana Center for Asthma and Allergy LLC

Organisation Allergy & Immunology Physician Willowbrook, IL

Practice location

Address: 6857 Kingery Highway, Willowbrook, IL 60527
Phone: (630) 323-8800
Mailing address: 6714 Fieldstone Dr, Burr Ridge, IL 60527

Authorised official

Name: Samyukta Koppula
Title: Owner
Phone: (630) 323-8800

Registered specialties

Allergy & Immunology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence 036078244 (IL)

Other Allergy & Immunology providers in Illinois →

Registry record

NPI: 1821211491
Entity type: Organization
NPI issued: 11 Apr 2007
Record last updated: 20 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.