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ASTHMA AND ALLERGY CENTER OF CHICAGO SC NPI 1861503153


NPI Information

NPI: 1861503153
Provider Name: ASTHMA AND ALLERGY CENTER OF CHICAGO SC
Classification: Allergy & Immunology - 207KA0200X
Entity Type: Organization

Specialization: Allergy

CLIA Number: 14D0992792

Address:
7420 CENTRAL AVE
SUITE 2020
RIVER FOREST, IL
ZIP 60305
Phone: (708) 366-9300
Get Directions

ASTHMA AND ALLERGY CENTER OF CHICAGO SC is an allergy allergy immunology in River Forest, IL. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee ASTHMA AND ALLERGY CENTER OF CHICAGO SC NPI is 1861503153. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7420 CENTRAL AVE
SUITE 2020
RIVER FOREST, IL
ZIP 60305-800
Phone: (708) 366-9300
Fax: (708) 366-9310

The provider's authorized official is Edward E Lisberg .
The authorized official title is Director and has the following contact phone number (708) 366-9300.

The CLIA number assigned to this NPI record is 14D0992792 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 11/30/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine036067746ILLINOISNo
2207KA0200XAllergy & ImmunologyAllergy036067746ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036067746MEDICAIDILLINOIS
2=========OTHERILLINOISTAX ID
3C49425MEDICARE UPINILLINOIS
431603461OTHERILLINOISBLUE CROSS BLUE SHIELD
5919410MEDICARE ID-TYPE UNSPECIFIEDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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