ASTHMA AND ALLERGY CENTER OF CHICAGO SC (NPI# 1861503153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861503153 |
Entity Type | Organization |
Organization Name | ASTHMA AND ALLERGY CENTER OF CHICAGO SC |
Practice Address |
7420 Central Ave Suite 2020 River Forest IL 60305-1800 |
Practice Telephone | 7083669300 |
Practice Fax Number | 7083669310 |
Enumeration Date | 2006-08-31 |
Last Update Date | 2009-11-30 |
Authorized Official Name | DR. EDWARD E LISBERG (DIRECTOR) |
Authorized Official Telephone | 7083669300 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 036067746 | IL | Allopathic & Osteopathic Physicians |
Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
036067746 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BLUE CROSS BLUE SHIELD | 31603461 | 01 |
IL | 036067746 | 05 |
Street Address |
7420 CENTRAL AVE SUITE 2020 |
City | RIVER FOREST |
State | IL |
Zip Code | 60305-1800 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043284144 | Scott M Mercola | Pediatrics | 7420 Central Ave, Suite 2040, River Forest, IL 60305 | 2006-02-15 |
1912470295 | Pipeline - Lakefront Medical Associates, LLC | Internal Medicine | 7420 Central Ave, River Forest, IL 60305-1800 | 2019-01-09 |
1912470394 | Pipeline-west Suburban Medical Center, LLC | Pharmacy | 7420 Central Ave, River Forest, IL 60305-1800 | 2019-01-08 |
1679893002 | Vhs West Suburban Medical Center Inc | Pharmacy | 7420 Central Ave, River Forest, IL 60305-1800 | 2010-06-08 |
1710151105 | Irene Ma | Internal Medicine | 7420 Central Ave, River Forest, IL 60305-1800 | 2008-04-16 |
1497829113 | West Suburban Medical Center | Pharmacy | 7420 Central Ave, River Forest, IL 60305-1800 | 2006-11-17 |
1306926738 | Pamela E Dorne Md Sc | Obstetrics & Gynecology | 7420 Central Ave, Suite2010, River Forest, IL 60305-1800 | 2006-10-17 |
1699862235 | Resurrection Home Health Services | Home Health | 7420 Central Ave, Suite 2030, River Forest, IL 60305-1800 | 2006-10-06 |
1841300464 | Elaine M Biester | Obstetrics & Gynecology | 7420 Central Ave, Suite 2030, River Forest, IL 60305-1800 | 2006-08-30 |
1124035944 | Vasant R Acharya | Obstetrics & Gynecology | 7420 Central Ave, Suite 2030, River Forest, IL 60305-1800 | 2006-08-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063969004 | Logan N Nierzwicki | Physical Therapist | 7341 A Lake St, River Forest, IL 60305 | 2016-09-07 |
1427442292 | Gina Patel | Physical Therapist | 7341a Lake St, River Forest, IL 60305 | 2015-03-19 |
1316369630 | Kristin Burns | Social Worker | 1115 Thatcher Ave, River Forest, IL 60305 | 2014-01-07 |
1508102823 | Elizabeth Ralyea | Nurse Practitioner | 7251 W Lake Street, River Forest, IL 60305 | 2012-12-13 |
1194009175 | Mani Chhibba | Optometrist | 7345 West Lake Street, River Forest, IL 60305 | 2011-10-07 |
1508069212 | Fatima Ali Hyder | Internal Medicine | 7343 Lake St, River Forest, IL 60305 | 2007-06-08 |
1932314069 | Karen Vanslyck Darley | Dentist | 340 Lathryn Ave, River Forest, IL 60305 | 2007-05-11 |
1083836571 | Lucelita Abad Duffy | Physical Therapist | 7411 Lake Street, Rehabilitation & Sports Medicine West Suburban Resurrec, River Forest, IL 60305 | 2007-05-03 |
1457484669 | Michelle Annette Melyn | Psychiatry & Neurology | 7777 West Lake St, River Forest, IL 60305 | 2007-03-14 |
1588797757 | Marie T Walsh | Dentist | 7765 W. North Ave., River Forest, IL 60305 | 2007-03-14 |
Find all providers in zip 60305 |
Taxonomy Code | 207KA0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Allergy & Immunology |
Specialization | Allergy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073942264 | Padma Tipirneni | Allergy & Immunology | 17608 San Bernardino Dr, Orland Park, IL 60467-8210 | 2013-11-07 |
1003041476 | Kevin D Lindgren | Allergy & Immunology | 610 S Maple Ave Ste 5500, Oak Park, IL 60304-2808 | 2009-05-28 |
1457479420 | Progressive Institute of Allergy, Inc. | Allergy & Immunology | 5351 W Lawrence Ave, Chicago, IL 60630-3627 | 2007-03-27 |
1134252869 | Allergy and Asthma Associates of Dupage, P.C. | Allergy & Immunology | 1020 E. Ogden Ave., Suite 205, Naperville, IL 60563 | 2007-03-13 |
1760513725 | Greg E Sharon Md Sc | Allergy & Immunology | 303 E Army Trail Rd Ste 403, Bloomingdale, IL 60108-2155 | 2007-03-08 |
1861520363 | Surendra Prakash Agarwal | Allergy & Immunology | 711 W Saint Anthony Ave, Effingham, IL 62401-2050 | 2007-02-28 |
1104969047 | Midwest Allergy and Asthma Specialists | Allergy & Immunology | 6743 Kingery Hwy, Willowbrook, IL 60527-5142 | 2007-02-14 |
1578656484 | Southwest Allergy Associates.s.c. | Allergy & Immunology | 5423 W 95th St, Oak Lawn, IL 60453-3789 | 2006-10-02 |
1801990007 | Janusz Langiewicz | Allergy & Immunology | 1 Executive Center Ste 3, South Barrington, IL 60010 | 2006-09-11 |
1710095385 | Allergy and Asthma Clinic Sc | Allergy & Immunology | 229 N Hammes Ave, Joliet, IL 60435-8100 | 2006-08-25 |
Find all providers with the same taxonomy |
City | RIVER FOREST |
Zip Code | 60305 |
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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.