Organization Active NPI

West Central Allergy Center S.C.

  • Clinic/Center
  • Peoria, IL
National Provider Identifier
1780863910
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WEST CENTRAL ALLERGY CENTER S.C.
Practice address
2514 W Scenic Dr
Peoria, IL 61615-3825
Phone
(309) 685-1038
NPI assigned
Oct 24, 2007
Last updated
Feb 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Danilo Gungon Capati, M.D.
Title
President
Phone
(309) 685-1038

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X IL Primary

Addresses

Primary practice location

2514 W Scenic Dr
Peoria, IL 61615-3825

Mailing address

2514 W Scenic Dr
Peoria, IL 61615-3825
Phone (309) 685-1038

Other identifiers 1

IdentifierTypeStateIssuer
0007232040OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

2514 W Scenic Dr
Peoria, IL 61615
Phone (309) 685-1038

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1780863910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 W SCENIC DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616153825",
            "telephone_number": "309-685-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 W SCENIC DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616153825",
            "telephone_number": "309-685-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CENTRAL ALLERGY CENTER S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "CAPATI",
        "authorized_official_first_name": "DANILO",
        "authorized_official_middle_name": "GUNGON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-685-1038",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0007232040",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.