ALLERGY AND ASTHMA CLINIC SC – NPI #1710095385
Allergy & Immunology

A physician who specializes in the diagnosis, treatment, and management of allergies.

Health Care Provider Taxonomy Code for Allergy & Immunology

ALLERGY AND ASTHMA CLINIC SC is an allergy & immunologist located in JOLIET, IL. NPPES has assigned the NPI number 1710095385 to ALLERGY AND ASTHMA CLINIC SC on August 25, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207KA0200X from the Health Care Provider Taxonomy code set, which is classified as Allergy & Immunology, specializing in Allergy

The NPI profile was previously updated about 19 years ago on Sep 04, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALLERGY AND ASTHMA CLINIC SC below.

NPI Profile for
ALLERGY AND ASTHMA CLINIC SC

NPI Number
1710095385
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ALLERGY AND ASTHMA CLINIC SC
Primary location
229 N HAMMES AVE
JOLIET, IL 60435-8100
Phone: (815) 744-2300 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
THEODORE KANELLAKES
DR
Phone: (815) 744-2300
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207KA0200X
- Allergy & Immunology / Allergy (Primary)		 IL

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.