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CHICAGO FAMILY ASTHMA & ALLERGY SC NPI 1942446760


NPI Information

NPI: 1942446760
Provider Name: CHICAGO FAMILY ASTHMA & ALLERGY SC
Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization

CLIA Number: 14D2112668

Address:
2551 N CLARK ST
SUITE 100
CHICAGO, IL
ZIP 60614
Phone: (773) 388-2322
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CHICAGO FAMILY ASTHMA & ALLERGY SC 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. CHICAGO FAMILY ASTHMA & ALLERGY SC NPI is 1942446760. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2551 N CLARK ST
SUITE 100
CHICAGO, IL
ZIP 60614-798
Phone: (773) 388-2322
Fax: (773) 388-2333

The provider's authorized official is Kelly K Newhall .
The authorized official title is President and has the following contact phone number (773) 388-2322.

The CLIA number assigned to this NPI record is 14D2112668 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/29/2008 and was last updated on 8/31/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207K00000XAllergy & Immunology036105585ILLINOISYes

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
1IL1765MEDICARE PINILLINOIS
20001628998OTHERILLINOISBCBS PROV #

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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