Advanced Allergy & Asthma Clinic S C

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

ADVANCED ALLERGY & ASTHMA CLINIC S C

Practice address

402 W Boughton Rd
Suite F-1
Bolingbrook, IL 60440-1872

Phone

(630) 378-4014

Fax

(630) 378-4784

NPI assigned

May 17, 2007

Last updated

Mar 22, 2012By 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

Naveed Akhtar, MDNPI 1912997933

Title

Owner

Phone

(630) 378-4014

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.

• Naveed Akhtar, M.D.

  • Allergy & Immunology (Internal Medicine) Physician
  • Bolingbrook, IL
  • NPI 1912997933
  Medicare reassignment NPD Authorized official
• Gerald Lofthouse, M.D.

  • Family Medicine Physician
  • Bolingbrook, IL
  • NPI 1972551513
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1467669374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 W BOUGHTON RD",
            "address_2": "SUITE F-1",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401872",
            "telephone_number": "630-378-4014",
            "fax_number": "630-378-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W BOUGHTON RD",
            "address_2": "SUITE F-1",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401872",
            "telephone_number": "630-378-4014",
            "fax_number": "630-378-4784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ALLERGY & ASTHMA CLINIC S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "AKHTAR",
        "authorized_official_first_name": "NAVEED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-378-4014",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036077398",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adeona Clinical Laboratory LLC
• Adeona Clinical Laboratory LLC
• Adult Health LTD
• Advance Med Wellness LLC
• Advance Surgical Instruments Inc (Advance Home Medical Supplies)
• Advanced Family Eyecare Center of Bolingbrook,Inc.
• Advanced Multi-Care Physicians Group
• Advanced Nursing Care, Inc.
• Advanced Patient Care, LLC.
• Advanced Professionals Healthcare, LLC

• Allergy & Immunology Physician in Bolingbrook, IL
• Providers in Bolingbrook, 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 Mar 22, 2012; 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.