Theodore Adam Allchin, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Practice address

1699 Wall St
Suite 112
Mount Prospect, IL 60056-6213

Phone

(847) 952-8040

NPI assigned

Mar 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861522567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1699 WALL ST",
            "address_2": "SUITE 112",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600566213",
            "telephone_number": "847-952-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1699 WALL ST",
            "address_2": "SUITE 112",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600566213",
            "telephone_number": "847-952-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLCHIN",
        "first_name": "THEODORE",
        "middle_name": "ADAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aram Michael Aivazian, DDS
• Berjouhi (Betty) A Aivazian, D.D.S.
• Solomon Ajayi
• Brian H Albert, M.D.
• Margaret Mary Aldworth
• Salam Altibi
• Amafhh LLC
• Jennifer Amalidosan, PHARMD
• American Cancer Care PC
• American Drug Stores LLC

• All providers in Mount Prospect, IL
• Child & Adolescent Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.