NPIMap

Organization Active NPI

Kaneland Allergy and Asthma Center SC

Doing business as Kaneland Allergy and Asthma Center

  • Allergy & Immunology Physician
  • North Aurora, IL
National Provider Identifier
1811289325
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
036-116071 Issued in IL
Legal business name
KANELAND ALLERGY AND ASTHMA CENTER SC
Doing business as
Kaneland Allergy and Asthma Center
Practice address
1213 Oak St
North Aurora, IL 60542-2006
Phone
(630) 504-2200
Fax
(630) 618-4799
NPI assigned
May 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Authorized official

Name
Dr. Sakina Shikari Bajowala, MDNPI 1427259605
Title
President
Phone
(773) 960-4730

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 036-116071 IL Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

1213 Oak St
North Aurora, IL 60542-2006

Mailing address

1213 Oak St
North Aurora, IL 60542-2006
Phone (630) 504-2200

Other practice location 1

54 W Countryside Pkwy Ste C
Yorkville, IL 60560-1964
Phone (630) 553-6262

Other names 1

  • Kaneland Allergy and Asthma Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110929000365 IL Part B Supplier - Clinic/Group Practice 7416128186 Receives reassigned benefits from 4 practitioners
Practice locations: Aurora, IL; North Aurora, IL; Yorkville, IL

National Provider Directory

National Provider Directory

Locations

1213 Oak St
North Aurora, IL 60542
Phone (630) 504-2200

54 W Countryside Pkwy
Ste C
Yorkville, IL 60560
Phone (630) 553-6262

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1811289325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 OAK ST",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605422006",
            "telephone_number": "630-504-2200",
            "fax_number": "630-618-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 OAK ST",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605422006",
            "telephone_number": "630-504-2200",
            "fax_number": "630-618-4799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "54 W Countryside Pkwy Ste C",
            "address_purpose": "LOCATION",
            "city": "Yorkville",
            "state": "IL",
            "postal_code": "605601964",
            "country_code": "US",
            "telephone_number": "630-553-6262",
            "fax_number": "630-618-4799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KANELAND ALLERGY AND ASTHMA CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "BAJOWALA",
        "authorized_official_first_name": "SAKINA",
        "authorized_official_middle_name": "SHIKARI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-960-4730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "IL",
            "license": "036-116071",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kaneland Allergy and Asthma Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.