Allergy and Asthma Clinic SC

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

Legal business name

ALLERGY AND ASTHMA CLINIC SC

Practice address

229 N Hammes Ave
Joliet, IL 60435-8100

Phone

(815) 744-2300

NPI assigned

Aug 25, 2006

Last updated

Sep 4, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Theodore M Kanellakes, MD

Title

Dr

Phone

(815) 744-2300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Voraphot Sathissarat, MD

  • Allergy Physician
  • Joliet, IL
  • NPI 1538156781
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1710095385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 N HAMMES AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358100",
            "telephone_number": "815-744-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 N HAMMES AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358100",
            "telephone_number": "815-744-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY AND ASTHMA CLINIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "KANELLAKES",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "815-744-2300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick S Alexander, MD
• Jerome Alexander
• Irfan Alhayani, MD
• All Well Medical Clinic Inc.
• Allergy and Asthma Associates of Joliet, S.C.
• Mark M Alles, O.D.
• Allied Anesthesia Associates, P.C.
• Lorn Allison, D.N.
• Mousab Almusaddy, M.D.
• Alpine Care at the River, LLC

• Allergy Physician in Joliet, IL
• Providers in Joliet, IL by specialty
• Allergy Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.