Individual provider Active NPI

Joel Steven Klein, M.D.

  • Allergy & Immunology Physician
  • Highland Park, IL
National Provider Identifier
1770566820
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
036079688 Issued in IL
Practice address
1160 Park Ave W
Suite 3 South
Highland Park, IL 60035-2230
Phone
(847) 432-0200
Fax
(847) 432-0201
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 036079688 IL Primary

Addresses

Primary practice location

1160 Park Ave W
Suite 3 South
Highland Park, IL 60035-2230

Mailing address

1160 Park Ave W
Suite 3 South
Highland Park, IL 60035-2230
Phone (847) 432-0200

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jklein236445@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050406000452 IL Practitioner - Allergy/Immunology 4385691930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
R Franklin University of Med & Sci/Chicago Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1160 Park Ave W
Suite 3
Highland Park, IL 60035-2230
Phone (847) 432-0200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036079688ILMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Consultants in Allergy & Asthma Care, LLC Allergy & Immunology CurrentSince Jan 1, 2014 Accepting new patients
Allergy & Asthma Consultants, LTD. Past Accepting new patients

Locations

1160 Park Ave W
Ste 3
Highland Park, IL 60035
Phone (847) 432-0200

1160 Park Ave W
Ste 3S
Highland Park, IL 60035
Phone (847) 432-0200

Interoperability endpoints

  • Direct secure messaging: jklein236445@direct.myadvocateaurora.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1770566820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 PARK AVE W",
            "address_2": "SUITE 3 SOUTH",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352230",
            "telephone_number": "847-432-0200",
            "fax_number": "847-432-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 PARK AVE W",
            "address_2": "SUITE 3 SOUTH",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352230",
            "telephone_number": "847-432-0200",
            "fax_number": "847-432-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "JOEL",
        "middle_name": "STEVEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IL",
            "license": "036079688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jklein236445@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1160 Park Ave W",
            "address_2": "Suite 3 South",
            "city": "Highland Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600352230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1160 Park Ave W",
            "address_2": "Suite 3 South",
            "city": "Highland Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600352230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

Verify at the official NPI Registry.