OrganizationActive
Allergy and Asthma Clinic Sc
NPI 1710095385 · Allergy Physician · Joliet, IL
Provider details
- NPI number
- 1710095385
- Entity type
- Organization
- Primary specialty
- Allergy PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Theodore Kanellakes, Dr(815) 744-2300
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
229 N Hammes Ave
Joliet, IL 60435-8100
Phone: (815) 744-2300
Approximate (ZIP-level) locationGet directions
Mailing address
229 N Hammes Ave
Joliet, IL 60435-8100
Registry dates
- Enumerated
- 2006-08-25
- Last updated
- 2007-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.