NPIMap

Organization Active NPI

Allerclinic,LTD.

  • Allergy & Immunology Physician
  • Crystal Lake, IL
National Provider Identifier
1164735437
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
ALLERCLINIC,LTD.
Practice address
25 S Virginia St
Suite 203
Crystal Lake, IL 60014-5806
Phone
(815) 459-5440
NPI assigned
Jul 15, 2010
Last updated
Jul 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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

Authorized official

Name
Deana Lim Dy, M.D.NPI 1518950781
Title
President
Phone
(815) 459-5440

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 Physician 207K00000X Primary

Addresses

Primary practice location

25 S Virginia St
Suite 203
Crystal Lake, IL 60014-5806

Mailing address

25 South Virginia Street
Suite 203
Crystal Lake, IL 60014-5800
Phone (815) 459-5440

National Provider Directory

National Provider Directory

Locations

25 S Virginia St
Ste 203
Crystal Lake, IL 60014
Phone (815) 459-5440

Practitioners & affiliated clinicians

Practitioners 1

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": "1279152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279152000000",
    "number": "1164735437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SOUTH VIRGINIA STREET",
            "address_2": "SUITE 203",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600145800",
            "telephone_number": "815-459-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S VIRGINIA ST",
            "address_2": "SUITE 203",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600145806",
            "telephone_number": "815-459-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERCLINIC,LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-15",
        "last_updated": "2010-07-15",
        "status": "A",
        "authorized_official_last_name": "DY",
        "authorized_official_first_name": "DEANA",
        "authorized_official_middle_name": "LIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-459-5440",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "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 Jul 15, 2010; 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.