Allport Clinic, LLC
Organization Active NPI Pediatrics Physician · Chicago, IL
NPI 1528090933 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1528090933
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- ALLPORT CLINIC, LLC
- Practice address
- 1239 W 18TH St
Chicago, IL 60608-3242 - Phone
- (312) 738-3111
- Fax
- (312) 738-2577
- NPI assigned
- Jul 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Yeun Hie Kim
- Title
- Office Manager
- Phone
- (312) 738-3111
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | IL | ||
| Pediatrics Physician |
208000000X | IL | Yes |
Addresses
Primary practice location
1239 W 18TH St
Chicago, IL 60608-3242
Mailing address
1239 W 18TH St
Chicago, IL 60608-3242
Phone (312) 738-3111
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All providers in Chicago, IL · Pediatrics Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.