Organization Active NPI

Allergy & Clinical Immunology Inc

  • Allergy & Immunology (Internal Medicine) Physician
  • Palos Heights, IL
National Provider Identifier
1215197546
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
036-0505567 Issued in IL
Legal business name
ALLERGY & CLINICAL IMMUNOLOGY INC
Practice address
7808 W College Dr
Suite 1SW
Palos Heights, IL 60463-1027
Phone
(708) 361-0730
Fax
(708) 361-0740
NPI assigned
Jun 10, 2008
Last updated
Oct 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Authorized official

Name
Dr. Mohammad Tariq Ghani, MD
Title
President
Phone
(708) 361-0730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0201X 036-0505567 IL Primary

Addresses

Primary practice location

7808 W College Dr
Suite 1SW
Palos Heights, IL 60463-1027

Mailing address

7808 W College Dr
Suite 1SW
Palos Heights, IL 60463-1027
Phone (708) 361-0730

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1215197546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7808 W COLLEGE DR",
            "address_2": "SUITE 1SW",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631027",
            "telephone_number": "708-361-0730",
            "fax_number": "708-361-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7808 W COLLEGE DR",
            "address_2": "SUITE 1SW",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631027",
            "telephone_number": "708-361-0730",
            "fax_number": "708-361-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & CLINICAL IMMUNOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "GHANI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "TARIQ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-361-0730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "IL",
            "license": "036-0505567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.