Illinois Institute of Allergy and Asthma SC

Primary specialty

SpecialistTaxonomy code 174400000X

License

036079245 Issued in IL

Legal business name

ILLINOIS INSTITUTE OF ALLERGY AND ASTHMA SC

Practice address

6 E. Phillip Rd.
Suite 1105
Vernon Hills, IL 60061-1700

Phone

(847) 362-0691

Fax

(847) 362-0694

NPI assigned

May 11, 2007

Last updated

Apr 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Scott I Song, M.D.NPI 1942282223

Title

Owner

Phone

(847) 362-0691

Specialties & licenses 1

Addresses

Other identifiers 2

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, and the practitioner matching its NPPES authorized official.

• Scott I Song, MD

  • Allergy Physician
  • Vernon Hills, IL
  • NPI 1942282223
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1396950739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 E. PHILLIP RD.",
            "address_2": "SUITE 1105",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611700",
            "telephone_number": "847-362-0691",
            "fax_number": "847-362-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 E. PHILLIP RD.",
            "address_2": "SUITE 1105",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611700",
            "telephone_number": "847-362-0691",
            "fax_number": "847-362-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS INSTITUTE OF ALLERGY AND ASTHMA SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-362-0691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036079245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "31603499",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "L023777",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy J Hozman, MD
• Youjein Hur, PT
• Allison J Hutner, LCSW
• Sarai Ibarra
• Icardia Healthcare Corp.
• Illumihealth LTD (Elumimed)
• Mandy L Imai, SLP/CCC
• Inadvance Medicine Associates PA (Passport Health)
• Innovative Senior Care Home Health of Chicago, LLC (Apex Health and Rehab)
• Integral Medical Injury Care LLC

• Specialist in Vernon Hills, IL
• Providers in Vernon Hills, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.