Individual provider Active NPI

Irma M Oliff, MD

  • Allergy Physician
  • Northbrook, IL
National Provider Identifier
1811976475
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
036-099000 Issued in IL
Practice address
500 Skokie Blvd
Ste 140
Northbrook, IL 60062-2856
Phone
(847) 272-4296
NPI assigned
Jan 12, 2006
Last updated
Aug 30, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 036-099000 IL Primary

Addresses

Primary practice location

500 Skokie Blvd
Ste 140
Northbrook, IL 60062-2856

Mailing address

500 Skokie Blvd
Ste 140
Northbrook, IL 60062-2856
Phone (847) 272-4296

Other identifiers 1

IdentifierTypeStateIssuer
036099000MedicaidIL

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
I20080519000313 IL Practitioner - Allergy/Immunology 6103995097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Southern California Keck School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salmon S Goldberg MD and David S Chudwin MDSCGroup PAC ID 6002873502, 4 clinicians

Practice addresses (Care Compare)

500 Skokie Blvd
Suite 140
Northbrook, IL 60062-2811
Phone (847) 272-4296

500 Skokie Blvd Su
Suite 140
Northbrook, IL 60062-2811
Phone (847) 272-4296

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-099000ILMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salmon S Goldberg MD and David S Chudwin MDSC CurrentSince May 10, 2012 Accepting new patients

Locations

475 Brown Blvd
Ste 104
Bourbonnais, IL 60914
Phone (815) 933-5092

150 W Half Day Rd
Ste 200
Buffalo Grove, IL 60089
Phone (847) 793-0777

300 Memorial Dr
Ste 250
Crystal Lake, IL 60014
Phone (630) 654-4201

500 Skokie Blvd
Ste 140
Northbrook, IL 60062
Phone (847) 272-4296

Organizations & group practices 1

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

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": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1811976475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SKOKIE BLVD",
            "address_2": "STE 140",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622856",
            "telephone_number": "847-272-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SKOKIE BLVD",
            "address_2": "STE 140",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622856",
            "telephone_number": "847-272-4296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIFF",
        "first_name": "IRMA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "IL",
            "license": "036-099000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036099000",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

Verify at the official NPI Registry.