Organization Active NPI

Suburban Center of Allergy LTD

  • Allergy & Immunology Physician
  • Downers Grove, IL
National Provider Identifier
1215114764
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
036-051014 Issued in IL
Legal business name
SUBURBAN CENTER OF ALLERGY LTD
Practice address
728B Ogden Ave
Downers Grove, IL 60515-2949
Phone
(630) 769-1122
Fax
(630) 769-1294
NPI assigned
Jan 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

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

Authorized official

Name
Dr. Nirmala V Arora, M.D.
Title
President
Phone
(630) 769-1122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 036-051014 IL Primary

Addresses

Primary practice location

728B Ogden Ave
Downers Grove, IL 60515-2949

Mailing address

728B Ogden Ave
Downers Grove, IL 60515-2949
Phone (630) 769-1122

National Provider Directory

National Provider Directory

Locations

728 Ogden Ave
Ste B
Downers Grove, IL 60515
Phone (630) 769-1122

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1215114764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728B OGDEN AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152949",
            "telephone_number": "630-769-1122",
            "fax_number": "630-769-1294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728B OGDEN AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152949",
            "telephone_number": "630-769-1122",
            "fax_number": "630-769-1294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN CENTER OF ALLERGY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "ARORA",
        "authorized_official_first_name": "NIRMALA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-769-1122",
        "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": "036-051014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

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