Organization Active NPI

Allergy Asthma Clinics of Fox Valley SC

  • Specialist
  • Aurora, IL
National Provider Identifier
1528096260
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036047614 Issued in IL
Legal business name
ALLERGY ASTHMA CLINICS OF FOX VALLEY SC
Practice address
581 Sullivan Rd
Suite B
Aurora, IL 60506-1489
Phone
(630) 859-3877
Fax
(630) 859-8920
NPI assigned
Jun 29, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Ronald Leslie Wolfson, M.D.
Title
President
Phone
(630) 859-3877

National Provider Directory

National Provider Directory

Locations

111 N Wabash Ave
Ste 1417
Chicago, IL 60602
Phone (312) 236-2584

1705 South St
Geneva, IL 60134
Phone (630) 208-3980

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 036047614 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

581 Sullivan Rd
Suite B
Aurora, IL 60506-1489

Mailing address

581 Sullivan Rd
Suite B
Aurora, IL 60506-1489
Phone (630) 859-3877

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 8, 2017.

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1528096260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 SULLIVAN RD",
            "address_2": "SUITE B",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061489",
            "telephone_number": "630-859-3877",
            "fax_number": "630-859-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 SULLIVAN RD",
            "address_2": "SUITE B",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061489",
            "telephone_number": "630-859-3877",
            "fax_number": "630-859-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY ASTHMA CLINICS OF FOX VALLEY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "WOLFSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-859-3877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036047614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.