Healthcare Provider Details

I. General information

NPI: 1275483653
Provider Name (Legal Business Name): CRESCENT ALLERGY SC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2026
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 W COLLEGE DR STE 3
PALOS HEIGHTS IL
60463-2199
US

IV. Provider business mailing address

7600 W COLLEGE DR STE 3
PALOS HEIGHTS IL
60463-2199
US

V. Phone/Fax

Practice location:
  • Phone: 708-636-9611
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. YUSAF HUSSAIN
Title or Position: OWNER/PRESIDENT
Credential: DO
Phone: 302-279-0290