J. Keith Lemmon, M.D., S.C.

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

Legal business name

J. KEITH LEMMON, M.D., S.C.

Practice address

3633 W Lake Ave
Suite 412
Glenview, IL 60026-5805

Phone

(847) 657-6060

Fax

(847) 657-7070

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

J Keith Lemmon, M.D.NPI 1750499356

Title

President

Phone

(847) 657-6060

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• J Keith Lemmon, M.D.

  • Allergy Physician
  • Glenview, IL
  • NPI 1750499356
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376651968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 W LAKE AVE",
            "address_2": "SUITE 412",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600265805",
            "telephone_number": "847-657-6060",
            "fax_number": "847-657-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 W LAKE AVE",
            "address_2": "SUITE 412",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600265805",
            "telephone_number": "847-657-6060",
            "fax_number": "847-657-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. KEITH LEMMON, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEMMON",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-657-6060",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0001636306",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew H Israel, DDS, MS
• Frederick Italia
• Mariene Italia, OTR/L
• Ian Itani, COTA/L
• Itxm Clinical Services
• Robert Eric Jack, COTA
• Monica Jacklow, PTA
• Autum L Jackson
• Debbra Carline Jackson, COTA
• Karen A Jackson, MD

• Allergy Physician in Glenview, IL
• Providers in Glenview, IL by specialty
• Allergy Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.