Organization Active NPI

Illinois Allergy and Asthma Specialists SC

  • Allergy & Immunology Physician
  • Evanston, IL
National Provider Identifier
1386964252
Registry record updated Jun 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
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

Updated by the provider on Jun 2, 2010

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.NPI 1457573420
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)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20101203001100 IL Part B Supplier - Clinic/Group Practice 6901093814 Receives reassigned benefits from 2 practitioners
Practice locations: Evanston, IL; Chicago, IL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.