Active NPI
Allergy & Asthma Medical Associates LTD
- Allergy Physician
- St Charles, IL
National Provider Identifier
1396894812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- Legal business name
- ALLERGY & ASTHMA MEDICAL ASSOCIATES LTD
- Practice address
- 2210 Dean St Ste M
St Charles, IL 60175-1059 - Phone
- (630) 668-9610
- Fax
- (630) 668-9813
- NPI assigned
- Jan 10, 2007
- Last updated
- Aug 25, 2023
- 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. Daryn T Abraham Jr., M.D.
- Title
- President
- Phone
- (630) 668-9610
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 042004915 | IL | |
| Allergy Physician | 207KA0200X | Primary |
Addresses
Primary practice location
2210 Dean St Ste M
St Charles, IL 60175-1059
Mailing address
389 S Schmale Rd
Carol Stream, IL 60188-2756
Phone (630) 668-9610
Other practice location 1
1600 N Randall Rd Ste 220
Elgin, IL 60123-7804
Phone (630) 668-9610
Other practice location 2
2676 Dekalb Ave
Sycamore, IL 60178-3110
Phone (630) 668-9610
Other practice location 3
389 S Schmale Rd
Carol Stream, IL 60188-2756
Phone (630) 668-9610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2007324 | Allergy & Asthma Medical | Certificate of waiver | May 12, 2028 |
National Provider Directory
National Provider DirectoryLocations
389 S Schmale Rd
Carol Stream, IL 60188
Phone (630) 206-1691
2210 Dean St
Ste M
St Charles, IL 60175
Phone (630) 513-1691
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Allergy & Immunology Physician
- St Charles, IL
- NPI 1104975770
-
- Family Nurse Practitioner
- St Charles, IL
- NPI 1851990667
-
- Otolaryngology Physician
- St Charles, IL
- NPI 1558316588
-
- Family Nurse Practitioner
- North Aurora, IL
- NPI 1952930372
-
- Otology & Neurotology Physician
- Glen Ellyn, IL
- NPI 1669448056
-
- Family Nurse Practitioner
- St Charles, IL
- NPI 1598442873
-
- Family Nurse Practitioner
- Mokena, IL
- NPI 1689240236
-
- Family Nurse Practitioner
- Mundelein, IL
- NPI 1821370693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692921600000",
"number": "1396894812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "389 S SCHMALE RD",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601882756",
"telephone_number": "630-668-9610",
"fax_number": "630-668-9813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 DEAN ST STE M",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601751059",
"telephone_number": "630-668-9610",
"fax_number": "630-668-9813"
}
],
"practiceLocations": [
{
"address_1": "1600 N Randall Rd Ste 220",
"address_purpose": "LOCATION",
"city": "Elgin",
"state": "IL",
"postal_code": "601237804",
"country_code": "US",
"telephone_number": "630-668-9610",
"fax_number": "630-668-9813",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2676 Dekalb Ave",
"address_purpose": "LOCATION",
"city": "Sycamore",
"state": "IL",
"postal_code": "601783110",
"country_code": "US",
"telephone_number": "630-668-9610",
"fax_number": "630-668-9813",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "389 S Schmale Rd",
"address_purpose": "LOCATION",
"city": "Carol Stream",
"state": "IL",
"postal_code": "601882756",
"country_code": "US",
"telephone_number": "630-668-9610",
"fax_number": "630-668-9813",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ALLERGY & ASTHMA MEDICAL ASSOCIATES LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-10",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A",
"authorized_official_last_name": "ABRAHAM",
"authorized_official_first_name": "DARYN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-668-9610",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "IL",
"license": "042004915",
"primary": false
},
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.