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HINSDALE ASTHMA & ALLERGY CENTER SC NPI 1154400331


NPI Information

NPI: 1154400331
Provider Name: HINSDALE ASTHMA & ALLERGY CENTER SC
Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization

CLIA Number: 14D0421389

Address:
333 CHESTNUT ST STE 203
HINSDALE, IL
ZIP 60521
Phone: (630) 323-5522
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HINSDALE ASTHMA & ALLERGY CENTER SC is an allergy immunology in Hinsdale, IL. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. HINSDALE ASTHMA & ALLERGY CENTER SC NPI is 1154400331. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

333 CHESTNUT ST STE 203
HINSDALE, IL
ZIP 60521-249
Phone: (630) 323-5522
Fax: (630) 323-5524

The provider's authorized official is Kiran Girdhar .
The authorized official title is President and has the following contact phone number (630) 323-5522.

The CLIA number assigned to this NPI record is 14D0421389 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/6/2006 and was last updated on 3/20/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207K00000XAllergy & Immunology036058101ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036058101MEDICAIDILLINOIS
2781380MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
3C39098MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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