Individual provider Active NPI

Miguel Jaen Alcordo, M.D.

  • Allergy & Immunology (Internal Medicine) Physician
  • Tinley Park, IL
National Provider Identifier
1477553899
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
036083285 Issued in IL
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

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040225000964 IL Practitioner - Allergy/ImmunologyPractitioner - Emergency MedicinePractitioner - Internal Medicine 2264328384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
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

LicenseStateTypeSpecialty
036083285ILMDAllergy & Immunology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southtown Allergy and Asthma Care, PC Allergy & Immunology CurrentSince Jul 1, 2000 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.

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

Verify at the official NPI Registry.