Central Illinois Allergy and Respiratory

Primary specialty

Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X

Legal business name

CENTRAL ILLINOIS ALLERGY AND RESPIRATORY

Practice address

543 W Miller St
Springfield, IL 62702-4978

Phone

(217) 522-5596

Fax

(217) 522-5599

NPI assigned

May 12, 2006

Last updated

Oct 4, 2007By 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. Glennon H Paul, M.D.

Title

President

Phone

(217) 522-5596

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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.

• Donald G Gumprecht, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Springfield, IL
  • NPI 1558311126
  NPD

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1952351546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 W MILLER ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627024978",
            "telephone_number": "217-522-5596",
            "fax_number": "217-522-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 W MILLER ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627024978",
            "telephone_number": "217-522-5596",
            "fax_number": "217-522-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ILLINOIS ALLERGY AND RESPIRATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "GLENNON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-522-5596",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Counties Health Centers, Inc. (Capitol Community Health Center - St John's Breadline)
• Central Counties Health Centers, Inc.
• Central Counties Health Centers, Inc. (Noll Dental Clinic)
• Central Counties Health Centers, Inc.
• Central Illinois Acupuncture, Inc.
• Central Illinois Audiology LTD (Central Illinois Hearing)
• Central Illinois Dental Sleep Center
• Central Illinois Emergency Physicians, LLP
• Central Illinois Hearing & Speech LTD (Central Illinois Hearing Ltd)
• Central Illinois Hematology Oncology Center PC

• Allergy & Immunology (Internal Medicine) Physician in Springfield, IL
• Providers in Springfield, IL by specialty
• Allergy & Immunology (Internal Medicine) Physician in Illinois

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