Individual provider Active NPI

Lourdes D Floro, MD

  • Allergy Physician
  • Oak Lawn, IL
National Provider Identifier
1275758955
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Practice address
5423 W 95TH St
Oak Lawn, IL 60453-3789
Phone
(708) 422-4848
Fax
(708) 422-7342
NPI assigned
Apr 16, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X IL Primary

Addresses

Primary practice location

5423 W 95TH St
Oak Lawn, IL 60453-3789

Mailing address

5423 W 95TH St
Oak Lawn, IL 60453-3789
Phone (708) 422-4848

Other identifiers 1

IdentifierTypeStateIssuer
21603560OtherILBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
035-045613ILMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Family Clinic, S.C. Allergy Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275758955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5423 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604533789",
            "telephone_number": "708-422-4848",
            "fax_number": "708-422-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5423 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604533789",
            "telephone_number": "708-422-4848",
            "fax_number": "708-422-7342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORO",
        "first_name": "LOURDES",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "21603560",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.