Organization Active NPI

Allergy & Asthma Family Clinic, S.C.

  • Allergy Physician
  • Oak Lawn, IL
National Provider Identifier
1396991972
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
042618061 Issued in IL
Legal business name
ALLERGY & ASTHMA FAMILY CLINIC, S.C.
Practice address
5423 W 95TH St
Oak Lawn, IL 60453-3789
Phone
(708) 422-4848
Fax
(708) 422-7342
NPI assigned
Aug 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Authorized official

Name
Dr. Miguel Camara, M.D.
Title
President
Phone
(630) 325-2037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X 042618061 IL Primary

Addresses

Primary practice location

5423 W 95TH St
Oak Lawn, IL 60453-3789

Mailing address

454 S Clay St
Hinsdale, IL 60521-4036
Phone (630) 325-2037

National Provider Directory

National Provider Directory

Locations

2000 Glenwood Ave
Ste 100
Joliet, IL 60435
Phone (815) 741-1212

5423 W 95th St
Oak Lawn, IL 60453
Phone (708) 422-4848

Practitioners & affiliated clinicians

Practitioners 1

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": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1396991972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 S CLAY ST",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605214036",
            "telephone_number": "630-325-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5423 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604533789",
            "telephone_number": "708-422-4848",
            "fax_number": "708-422-7342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & ASTHMA FAMILY CLINIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "CAMARA",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-325-2037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "IL",
            "license": "042618061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.