Chicago Family Asthma & Allergy SC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

036105585 Issued in IL

Legal business name

CHICAGO FAMILY ASTHMA & ALLERGY SC

Practice address

2551 N Clark St
Suite 100
Chicago, IL 60614-1798

Phone

(773) 388-2322

Fax

(773) 388-2333

NPI assigned

Dec 29, 2008

Last updated

Aug 31, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kelly K Newhall, MDNPI 1104932326

Title

President

Phone

(773) 388-2322

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly Klingler Newhall, M.D.

  • Allergy & Immunology Physician
  • Chicago, IL
  • NPI 1104932326
  Medicare reassignment Care Compare group NPD Authorized official
• Aaron Thomas Donnell, MD

  • Allergy & Immunology Physician
  • Chicago, IL
  • NPI 1154304848
  Medicare reassignment Care Compare group NPD
• Alexa Nimmagadda, APRN

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1821821596
  Medicare reassignment Care Compare group NPD
• Madeleine Rose Starr

  • Family Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1316673932

  IL

  Medicare reassignment NPD

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440979200000",
    "number": "1942446760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 N CLARK ST",
            "address_2": "SUITE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141798",
            "telephone_number": "773-388-2322",
            "fax_number": "773-388-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 N CLARK ST",
            "address_2": "SUITE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141798",
            "telephone_number": "773-388-2322",
            "fax_number": "773-388-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO FAMILY ASTHMA & ALLERGY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2015-08-31",
        "status": "A",
        "authorized_official_last_name": "NEWHALL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-388-2322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IL",
            "license": "036105585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROV #",
            "identifier": "0001628998",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chicago Express Doctors, Inc.
• Chicago Eye Care and Lasers S C
• Chicago Eye Care and Surgery Center Inc
• Chicago Eye Institute, PLLC (Chicago Eye Institute)
• Chicago Eyes LTD
• Chicago Family Chiropractic Care
• Chicago Family Dental Center PC
• Chicago Family Dentistry
• Chicago Family Health Center
• Chicago Family Health Center

• Allergy & Immunology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Allergy & Immunology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.