Southtown Allergy and Asthma Care, PC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

036083285 Issued in IL

Legal business name

SOUTHTOWN ALLERGY AND ASTHMA CARE, PC

Practice address

18210 La Grange Rd
Suite 201
Tinley Park, IL 60487-7722

Phone

(708) 945-6328

NPI assigned

Mar 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Miguel Jaen AlcordoNPI 1477553899

Title

MD

Phone

(708) 945-6332

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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.

• Miguel Jaen Alcordo, M.D.

  • Allergy & Immunology (Internal Medicine) Physician
  • Tinley Park, IL
  • NPI 1477553899
  Medicare reassignment NPD Authorized official
• Nabila Alcordo, RD

  • Registered Dietitian
  • Tinley Park, IL
  • NPI 1619469970
  NPD (past)

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1396916409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18210 LA GRANGE RD STE 201",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604877725",
            "telephone_number": "708-945-6328",
            "fax_number": "708-478-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18210 LA GRANGE RD",
            "address_2": "SUITE 201",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604877722",
            "telephone_number": "708-945-6328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHTOWN ALLERGY AND ASTHMA CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "ALCORDO",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "JAEN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "708-945-6332",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "IL",
            "license": "036083285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "036083285",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Allergy & Immunology Physician in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Allergy & Immunology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.