Allergy & CL Immunology Center

Primary specialty

Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X

License

036050567 Issued in IL

Legal business name

ALLERGY & CL IMMUNOLOGY CENTER

Practice address

1425 N McLean Blvd
Suite 100
Elgin, IL 60123-5723

Phone

(847) 931-1999

Fax

(847) 931-1721

NPI assigned

Jul 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mohammad TK Ghani, M.D.

Title

President

Phone

(708) 344-3550

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1508066960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 W ROOSEVELT RD",
            "address_2": "SUITE 304",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601542664",
            "telephone_number": "708-344-3550",
            "fax_number": "708-344-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 N MCLEAN BLVD",
            "address_2": "SUITE 100",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235723",
            "telephone_number": "847-931-1999",
            "fax_number": "847-931-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & CL IMMUNOLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "GHANI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "TK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-344-3550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "IL",
            "license": "036050567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036050567",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "1617643",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Allergy & Immunology (Internal Medicine) Physician in Elgin, IL
• Providers in Elgin, IL by specialty
• Allergy & Immunology (Internal Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.