Active NPI
Illinois Allergy and Asthma Specialists SC
- Allergy & Immunology Physician
- Evanston, IL
National Provider Identifier
1386964252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- Legal business name
- ILLINOIS ALLERGY AND ASTHMA SPECIALISTS SC
- Practice address
- 2500 Ridge Road
Suite 211a Co Building
Evanston, IL 60201-2418 - Phone
- (847) 328-7909
- NPI assigned
- Jun 2, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vivian H Chou, M.D.
- Title
- President
- Phone
- (847) 328-7909
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | Primary |
Addresses
Primary practice location
2500 Ridge Road
Suite 211a Co Building
Evanston, IL 60201-2418
Mailing address
2500 Ridge Road
Suite 211a
Evanston, IL 60201-2418
Phone (847) 328-7909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2500 Ridge Ave
Ste 211A
Evanston, IL 60201
Phone (773) 677-4300
500 Davis St
Ste 512
Evanston, IL 60201
Phone (847) 328-7909
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Allergy & Immunology Physician
- Evanston, IL
- NPI 1457573420
-
- Allergy & Immunology Physician
- Evanston, IL
- NPI 1699978791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275436800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275436800000",
"number": "1386964252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 RIDGE ROAD",
"address_2": "SUITE 211A",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602012418",
"telephone_number": "847-328-7909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 RIDGE ROAD",
"address_2": "SUITE 211A CO BUILDING",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602012418",
"telephone_number": "847-328-7909"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ILLINOIS ALLERGY AND ASTHMA SPECIALISTS SC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-02",
"last_updated": "2010-06-02",
"status": "A",
"authorized_official_last_name": "CHOU",
"authorized_official_first_name": "VIVIAN",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-328-7909",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; 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.