Allergy & Asthma of Illinois SC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

042008003 Issued in IL

Legal business name

ALLERGY & ASTHMA OF ILLINOIS SC

Practice address

6615 N Big Hollow Rd
Peoria, IL 61615-2450

Phone

(309) 691-5200

Fax

(309) 691-5201

NPI assigned

Sep 30, 2005

Last updated

Jan 26, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen J Smart, MDNPI 1265429625

Title

President

Phone

(309) 691-5200

Specialties & licenses 1

Addresses

Locations

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.

• Stephen J Smart, MD

  • Allergy & Immunology Physician
  • Peoria, IL
  • NPI 1265429625
  Authorized official Same address or phone

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1194712547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 N BIG HOLLOW RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616152450",
            "telephone_number": "309-691-5200",
            "fax_number": "309-691-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 N BIG HOLLOW RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616152450",
            "telephone_number": "309-691-5200",
            "fax_number": "309-691-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & ASTHMA OF ILLINOIS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "SMART",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-691-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IL",
            "license": "042008003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnesha Allen
• Jozie Allen, LCSW
• Natasha Nicole Allen, LCPC
• Soraya Allen
• Tahari Nicole Allen, LCPC
• Allergy and Asthma Carecenter SC
• Robin A Alley, MD
• Robert Andrew Allison, PA-C
• Patti Lynn Ally, MS
• Allyson Cole Pediatric Nutrition Therapy PLLC

• Allergy & Immunology Physician in Peoria, IL
• Providers in Peoria, IL by specialty
• Allergy & Immunology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.