NPI Details
Juanita Mora, MD is an allergy immunology in Chicago, IL with 22 years of experience. 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. Juanita Mora, MD NPI is 1750557179. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2003
The provider's business location address is:
4952 W IRVING PARK RD
CHICAGO ALLERGY CENTER SUITE 100
CHICAGO, IL
ZIP 60641-640
Phone: (773) 614-7315
Fax: (773) 644-1370
The NPI 1750557179 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Test for allergy using allergenic extract (HCPCS:95004)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Injection of drug or substance under skin or into muscle (HCPCS:96372)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
The enumeration date for this NPI number is 5/6/2008 and was last updated on 4/30/2015.
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 |
| 1 | 207R00000X | Internal Medicine | | 036118624 | ILLINOIS | No |
| 2 | 208000000X | Pediatrics | | 0368118624 | ILLINOIS | No |
| 3 | 207K00000X | Allergy & Immunology | | 036118624 | ILLINOIS | Yes |
