ILLINOIS INSTITUTE OF ALLERGY AND ASTHMA SC (NPI# 1396950739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396950739 |
| Entity Type | Organization |
| Organization Name | ILLINOIS INSTITUTE OF ALLERGY AND ASTHMA SC |
| Practice Address |
6 E. Phillip Rd. Suite 1105 Vernon Hills IL 60061-1700 |
| Practice Telephone | 8473620691 |
| Practice Fax Number | 8473620694 |
| Mailing Telephone | 8473620691 |
| Mailing Fax Number | 8473620694 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2008-04-24 |
| Authorized Official Name | DR. SCOTT I SONG (OWNER) |
| Authorized Official Telephone | 8473620691 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 036079245 | IL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 31603499 | 01 |
| IL | CHAMPUS | L023777 | 01 |
| Street Address |
6 E. PHILLIP RD. SUITE 1105 |
| City | VERNON HILLS |
| State | IL |
| Zip Code | 60061-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841833399 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | Milwaukee Ave & E Towline Rd #e1600, Vernon Hills, IL 60061 | 2019-10-28 |
| 1124423769 | Deborah Randall | Pharmacist | 706 Summit Ln, Vernon Hills, IL 60061 | 2014-10-24 |
| 1902217938 | Alexandra Kohl Brady | Pediatrics | 830 W End Ct Ste 500, Vernon Hills, IL 60061 | 2014-05-13 |
| 1467862508 | Michelle Bistany | Counselor | 24647 North Milwaukee Avenue, Vernon Hills, IL 60061 | 2014-04-29 |
| 1740540913 | Serge Sorokin | Counselor | 565 Lakeview Parkway, Suite 105, Vernon Hills, IL 60061 | 2012-05-22 |
| 1972878304 | Valerie L Mayer | Counselor | 24647 N. Milwaukee Ave, Vernon Hills, IL 60061 | 2012-03-19 |
| 1407158033 | Ziemowit Mazur | Physician Assistant | 230 Center Drive, Vernon Hills, IL 60061 | 2010-12-02 |
| 1841508249 | Mandy L Imai | Speech-Language Pathologist | 200 N. Fairway Drive Ste 208, Vernon Hills, IL 60061 | 2010-09-20 |
| 1811203268 | Sarah E. Anderson | Occupational Therapist | 200 N. Fairway Drive, Suite 208, Vernon Hills, IL 60061 | 2010-08-24 |
| 1679898969 | Mussie Beraki | Internal Medicine | 6e Phillip Road Suite 1104, Vernon Hills, IL 60061 | 2010-03-30 |
| Find all providers in zip 60061 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174998751 | Jay Ehrlich | Specialist | 648 Sycamore St, Vernon Hills, IL 60061-1084 | 2015-12-08 |
| 1508061391 | Arc-health, Pain Management and Physical Therapy Center | Specialist | 977 Lakeview Pkwy Ste 103, Vernon Hills, IL 60061-1444 | 2007-06-20 |
| 1497884712 | Margot Maresky | Specialist | 1673 N Woods Way, Vernon Hills, IL 60061-1237 | 2007-03-04 |
| 1407906696 | Carl M Silberman | Specialist | 565 Lakeview Pkwy Ste 116, Vernon Hills, IL 60061-1822 | 2007-01-11 |
| 1255446852 | Vladimir V Panine | Specialist | 250 Center Dr Ste 202, Vernon Hills, IL 60061-1582 | 2006-08-21 |
| 1215167184 | Hand Surgery Associates Sc | Specialist | 565 Lakeview Pkwy, Vernon Hills, IL 60061-1857 | 2009-07-24 |
| 1407066491 | Melanie A. Wokwicz | Specialist | 555 Corporate Woods Pkwy, Vernon Hills, IL 60061-3111 | 2007-05-22 |
| 1376769463 | Margot Maresky PC | Specialist | 1673 N Woods Way, Vernon Hills, IL 60061-1237 | 2007-04-17 |
| 1922030790 | Associates In Pain Management, Inc | Specialist | 6 E Phillip Rd, Suite 1106, Vernon Hills, IL 60061-1700 | 2006-07-06 |
| 1578555306 | Mitchell Ross Weisberg | Specialist | 565 Lakeview Pkwy, Suite 102, Vernon Hills, IL 60061-1857 | 2005-08-18 |
| Find all providers in VERNON HILLS | ||||
| City | VERNON HILLS |
| Zip Code | 60061 |
Please comment or provide details below to improve the information on ILLINOIS INSTITUTE OF ALLERGY AND ASTHMA SC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.