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General NPI Number Information
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NPI Number | 1730228610
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Entity Type | Organization
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Legal Business Name | ALLERGY & ASTHMA CENTER, INC
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 2913 N COMMONWEALTH AVE FL 5
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City | CHICAGO
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State | IL
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Zip | 60657-6211
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Country | US
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Telephone | 815-729-9900
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Fax | 815-729-9913
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Provider Business Mailing Address
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Address Line | 2228 WEBER RD
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City | CREST HILL
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State | IL
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Zip | 60435-0928
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Country | US
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Telephone | 815-729-9900
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Fax | 815-729-9913
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MAAZ MOHIUDDIN
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Credential | M.D.
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Telephone | 815-729-9900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 036-066748
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number |
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License Number State |
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