Dukane Allergy Associates. LTD

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

50783138 Issued in IL

Legal business name

DUKANE ALLERGY ASSOCIATES. LTD

Practice address

2900 Foxfield Rd
Suite 206
St Charles, IL 60174-5799

Phone

(630) 584-6127

Fax

(630) 584-6070

NPI assigned

Aug 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Virginia P Madla, MD

Title

Ceo

Phone

(630) 584-6127

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1053503383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 FOXFIELD RD",
            "address_2": "SUITE 206",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601745799",
            "telephone_number": "630-584-6127",
            "fax_number": "630-584-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 FOXFIELD RD",
            "address_2": "SUITE 206",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601745799",
            "telephone_number": "630-584-6127",
            "fax_number": "630-584-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUKANE ALLERGY ASSOCIATES. LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "MADLA",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-584-6127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "IL",
            "license": "50783138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "4515125",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in St Charles, IL
• Providers in St Charles, IL by specialty
• Preferred Provider Organization in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.