Organization Active NPI

Midwest Allergy and Asthma Specialists

  • Allergy Physician
  • Willowbrook, IL
National Provider Identifier
1104969047
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
MIDWEST ALLERGY AND ASTHMA SPECIALISTS
Practice address
6743 Kingery Hwy
Willowbrook, IL 60527-5142
Phone
(630) 789-2560
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sanjay C Patel, M.D.
Title
President
Phone
(630) 789-2560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X IL Primary

Addresses

Primary practice location

6743 Kingery Hwy
Willowbrook, IL 60527-5142

Mailing address

6756 Fieldstone Dr
Burr Ridge, IL 60527-5298
Phone (630) 789-2560

National Provider Directory

National Provider Directory

Locations

6743 Kingery Hwy
Willowbrook, IL 60527
Phone (630) 325-2541

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104969047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6756 FIELDSTONE DR",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275298",
            "telephone_number": "630-789-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6743 KINGERY HWY",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605275142",
            "telephone_number": "630-789-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST ALLERGY AND ASTHMA SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-789-2560",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willowbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.