Allergy & Clinical Immunology Inc

Key facts

NPI: 1215197546
Entity type: Organization (NPI type 2)
Primary specialty: Allergy & Immunology (Internal Medicine) Physician 207RA0201X
License: 036-0505567 (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
Organization subpart: No

Authorized official

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Allergy & Immunology (Internal Medicine) Physician Group: 193200000X MULTI-SPECIALTY GROUP	207RA0201X	036-0505567	IL	Yes

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

Other identifiers

Identifier	Type	State	Issuer
216213036	Other	IL	BC/BS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 14, 2008.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "216213036",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

All providers in Palos Heights, IL · Allergy & Immunology (Internal Medicine) Physician in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.