Organization Active NPI

Advanced Allergy & Asthma Associates SC

  • Medical Specialty Clinic/Center
  • Crystal Lake, IL
National Provider Identifier
1629122403
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
ADVANCED ALLERGY & ASTHMA ASSOCIATES SC
Practice address
730 E Terra Cotta Ave
Suite a
Crystal Lake, IL 60014-3615
Phone
(847) 888-8802
Fax
(866) 246-1164
NPI assigned
Jan 22, 2007
Last updated
Feb 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Authorized official

Name
Dr. Noga Askenazi, MDNPI 1972518702
Title
Owner
Phone
(847) 888-8802

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X NU Primary

Addresses

Primary practice location

730 E Terra Cotta Ave
Suite a
Crystal Lake, IL 60014-3615

Mailing address

730 E Terra Cotta Ave
Suite a
Crystal Lake, IL 60014-3615
Phone (847) 888-8802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070406000054 IL Part B Supplier - Clinic/Group Practice 3577667237 Receives reassigned benefits from 1 practitioner
Practice locations: Crystal Lake, IL; Elgin, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2211229Advanced Allergy & Asthma730 E Terra Cotta Ave - Ste a, Crystal Lake, IL 60014Certificate of waiverJan 25, 2027

National Provider Directory

National Provider Directory

Locations

120 N Northwest Hwy
Barrington, IL 60010
Phone (847) 382-6579

690 E Terra Cotta Ave
Ste C
Crystal Lake, IL 60014
Phone (815) 342-7181

720 E Terra Cotta Ave
Ste C
Crystal Lake, IL 60014
Phone (847) 888-8802

730 E Terra Cotta Ave
Ste A
Crystal Lake, IL 60014
Phone (847) 888-8802

2445 Westfield Dr
Ste 501
Elgin, IL 60124
Phone (847) 888-8802

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1629122403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 E TERRA COTTA AVE",
            "address_2": "SUITE A",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143615",
            "telephone_number": "847-888-8802",
            "fax_number": "866-246-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 E TERRA COTTA AVE",
            "address_2": "SUITE A",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143615",
            "telephone_number": "847-888-8802",
            "fax_number": "866-246-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ALLERGY & ASTHMA ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "ASKENAZI",
        "authorized_official_first_name": "NOGA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-888-8802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.