MEDICARE: ALLERGY & ASTHMA ASSOCIATES LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RA0201X	Allergy & Immunology (Internal Medicine) Physician

General Provider Information

NPI Number	:	1013104587
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLERGY & ASTHMA ASSOCIATES LTD

Provider Business Mailing Address
First Line	:	500 SKOKIE BLVD
Second Line	:	SUITE 140
City	:	NORTHBROOK
State	:	IL
Zip	:	60062-2856
Country	:	US
Telephone Number	:	847-272-4296
Fax Number	:	847-272-4177

Provider Business Practice Location Address
First Line	:	5911 NORTHWEST HWY
Second Line	:	SUITE 208
City	:	CRYSTAL LAKE
State	:	IL
Zip	:	60014-8065
Country	:	US
Telephone Number	:	815-455-7259
Fax Number	:	847-272-4177

Authorized Official
Title or Position	:	OFFICER
Name	:	DR. DAVID S CHUDWIN
Credential	:	MD
Telephone Number	:	847-272-4296

Provider Enumeration Date	:	09/28/2007
Last Update Date	:	12/19/2007

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