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ILLINOIS ALLERGY ASTHMA & SINUS CENTER INC NPI 1457677122


NPI Information

NPI: 1457677122
Provider Name: ILLINOIS ALLERGY ASTHMA & SINUS CENTER INC
Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization
Address:
4801 W PETERSON AVE
SUITE 306
CHICAGO, IL
ZIP 60646
Phone: (773) 877-3500
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ILLINOIS ALLERGY ASTHMA & SINUS CENTER INC is an allergy immunology in Chicago, IL. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. ILLINOIS ALLERGY ASTHMA & SINUS CENTER INC NPI is 1457677122. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4801 W PETERSON AVE
SUITE 306
CHICAGO, IL
ZIP 60646-713
Phone: (773) 877-3500
Fax: (888) 228-2622

The provider's authorized official is Brian David Rotskoff .
The authorized official title is Physician and has the following contact phone number (773) 877-3500.

The enumeration date for this NPI number is 4/20/2010 and was last updated on 1/7/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207K00000XAllergy & Immunology036102370ILLINOISYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H36114MEDICARE UPINILLINOIS

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: 4/28/2024

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