NPIMap

Organization Active NPI

Susan C Apolinario

  • Allergy & Immunology Physician
  • Oak Lawn, IL
National Provider Identifier
1093108557
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
036074823 Issued in IL
Legal business name
SUSAN C APOLINARIO
Practice address
4400 W 95TH St
Suite 105
Oak Lawn, IL 60453-2654
Phone
(708) 425-3417
Fax
(708) 425-5166
NPI assigned
Mar 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Authorized official

Name
Dr. Susan Chua Apolinario, M.D.NPI 1174522171
Title
Owner
Phone
(708) 425-3417

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 036074823 IL Primary

Addresses

Primary practice location

4400 W 95TH St
Suite 105
Oak Lawn, IL 60453-2654

Mailing address

4400 W 95TH St
Suite 105
Oak Lawn, IL 60453-2654
Phone (708) 425-3417

Other names 1

  • SUSAN CHUA APOLINARIO, M.D. Doing business as

National Provider Directory

National Provider Directory

Locations

4400 W 95th St
Ste 105
Oak Lawn, IL 60453
Phone (708) 425-3417

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1093108557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 W 95TH ST",
            "address_2": "SUITE 105",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532654",
            "telephone_number": "708-425-3417",
            "fax_number": "708-425-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 W 95TH ST",
            "address_2": "SUITE 105",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532654",
            "telephone_number": "708-425-3417",
            "fax_number": "708-425-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN C APOLINARIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "APOLINARIO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "CHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-425-3417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "IL",
            "license": "036074823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUSAN CHUA APOLINARIO, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.