Organization Active NPI

Abhilasha Ganju

  • Allergy & Immunology Physician
  • Chicago, IL
National Provider Identifier
1821246646
Registry record updated Sep 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
036052756 Issued in IL
Legal business name
ABHILASHA GANJU
Practice address
1286 N Milwaukee Ave # 205
Chicago, IL 60642-2219
Phone
(312) 259-9360
NPI assigned
Sep 4, 2008
Last updated
Sep 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2008

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

Authorized official

Name
Abhilasha Ganju
Title
President
Phone
(312) 259-9360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X 036052756 IL Primary

Addresses

Primary practice location

1286 N Milwaukee Ave # 205
Chicago, IL 60642-2219

Mailing address

1286 N Milwaukee Ave # 205
Chicago, IL 60642-2219
Phone (312) 259-9360

National Provider Directory

National Provider Directory

Locations

1286 N Milwaukee Ave
#205
Chicago, IL 60622
Phone (312) 259-9360

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1821246646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1286 N MILWAUKEE AVE # 205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422219",
            "telephone_number": "312-259-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1286 N MILWAUKEE AVE # 205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422219",
            "telephone_number": "312-259-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABHILASHA GANJU",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "GANJU",
        "authorized_official_first_name": "ABHILASHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-259-9360"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "IL",
            "license": "036052756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.