NPIMap

Organization Active NPI

Allergy & Asthma Associates LTD

  • Allergy & Immunology (Internal Medicine) Physician
  • Crystal Lake, IL
National Provider Identifier
1013104587
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
Legal business name
ALLERGY & ASTHMA ASSOCIATES LTD
Practice address
5911 Northwest Hwy
Suite 208
Crystal Lake, IL 60014-8065
Phone
(815) 455-7259
Fax
(847) 272-4177
NPI assigned
Sep 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. David S Chudwin, MDNPI 1669472262
Title
Officer
Phone
(847) 272-4296

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RA0201X Primary

Addresses

Primary practice location

5911 Northwest Hwy
Suite 208
Crystal Lake, IL 60014-8065

Mailing address

500 Skokie Blvd
Suite 140
Northbrook, IL 60062-2856
Phone (847) 272-4296

National Provider Directory

National Provider Directory

Locations

475 Brown Blvd
Ste 104
Bourbonnais, IL 60914
Phone (815) 933-5092

500 Skokie Blvd
Ste 140
Northbrook, IL 60062
Phone (847) 272-4296

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/c3d6a188-86bd-4e90-a26d-5bfd89cb9cd7/

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1013104587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SKOKIE BLVD",
            "address_2": "SUITE 140",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622856",
            "telephone_number": "847-272-4296",
            "fax_number": "847-272-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5911 NORTHWEST HWY",
            "address_2": "SUITE 208",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148065",
            "telephone_number": "815-455-7259",
            "fax_number": "847-272-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & ASTHMA ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "CHUDWIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "847-272-4296",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.