Active NPI
West Central Allergy Center S.C.
- Clinic/Center
- Peoria, IL
National Provider Identifier
1780863910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007232040 | Other | IL | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
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.