Active NPI
Miguel Jaen Alcordo, M.D.
- Allergy & Immunology (Internal Medicine) Physician
- Tinley Park, IL
National Provider Identifier
1477553899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology (Internal Medicine) Physician
- License
- 036083285
- Practice address
- 18210 La Grange Rd
Suite 201
Tinley Park, IL 60487-7722 - Phone
- (708) 945-6328
- Fax
- (708) 478-1286
- NPI assigned
- Jul 28, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 036083285 | IL | |
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | 036083285 | IL | Primary |
Addresses
Primary practice location
18210 La Grange Rd
Suite 201
Tinley Park, IL 60487-7722
Mailing address
16828 Green Knoll Ave
Orland Park, IL 60467-5857
Phone (708) 478-6093
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
18210 S la Grange Rd
Suite 201
Tinley Park, IL 60487-7725
Phone (708) 945-6328
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036083285 | IL | MD | Allergy & Immunology (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southtown Allergy and Asthma Care, PC | Allergy & Immunology | Current | Accepting new patients |
Locations
18210 La Grange Rd
Ste 201
Tinley Park, IL 60487
Phone (708) 945-6328
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Allergy & Immunology Physician
- Tinley Park, IL
- NPI 1396916409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766448000000",
"number": "1477553899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16828 GREEN KNOLL AVE",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604675857",
"telephone_number": "708-478-6093"
},
{
"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",
"fax_number": "708-478-1286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALCORDO",
"first_name": "MIGUEL",
"middle_name": "JAEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2025-12-23",
"certification_date": "2025-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "IL",
"license": "036083285",
"primary": false
},
{
"code": "207RA0201X",
"taxonomy_group": "",
"desc": "Internal Medicine, Allergy & Immunology",
"state": "IL",
"license": "036083285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tinley Park, IL
Sources for this page
- 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; Order and Referring.
- 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.