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NORTH SHORE ALLERGY AND ASTHMA S.C. NPI 1467567156


NPI Information

NPI: 1467567156
Provider Name: NORTH SHORE ALLERGY AND ASTHMA, S.C.
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 14D0414505

Address:
1790 NATIONS DR
SUITE 102
GURNEE, IL
ZIP 60031
Phone: (847) 662-4455
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NORTH SHORE ALLERGY AND ASTHMA, S.C. is a specialist in Gurnee, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NORTH SHORE ALLERGY AND ASTHMA, S.C. NPI is 1467567156. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1790 NATIONS DR
SUITE 102
GURNEE, IL
ZIP 60031-164
Phone: (847) 662-4455
Fax: (847) 662-9940

The provider's authorized official is Parthiv S Shah .
The authorized official title is Secretary Treasurer and has the following contact phone number (847) 662-4455.

The CLIA number assigned to this NPI record is 14D0414505 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 1/28/2013.


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
1174400000XSpecialist042-003044ILLINOISYes

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
1300110MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
2049-15734OTHERILLINOISBC/BS

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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