Western Illinois ENT and Allergy
Western Illinois ENT and Allergy is an Allergy Physician in Streator, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
104 W 6th St Ste 303Streator, IL 61364-2899
Phone: (815) 673-6368
Fax: (866) 262-4460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Otolaryngology Physician (primary) | Taxonomy 207Y00000X · Licence 36055109 (IL) |
|---|---|
| Allergy Physician | Taxonomy 207KA0200X · Licence 36055109 (IL) |
Record details
| NPI number | 1689751356 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Charles Dickerson — Owner · (815) 673-6368 |
| NPI enumerated | November 1, 2006 |
| Last updated in NPPES | September 11, 2025 |
| Mailing address | 104 W 6th St, Suite 303, Streator, IL 61364-2899 |