Provider Demographics
NPI:1093892457
Name:ALLERGY & ASTHMA CONSULTANTS, LTD.
Entity Type:Organization
Organization Name:ALLERGY & ASTHMA CONSULTANTS, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:E
Authorized Official - Last Name:NEWTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-775-1112
Mailing Address - Street 1:36100 N BROOKSIDE DR
Mailing Address - Street 2:SUITE 203
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-4571
Mailing Address - Country:US
Mailing Address - Phone:847-855-1570
Mailing Address - Fax:847-855-1890
Practice Address - Street 1:36100 N BROOKSIDE DR STE 203
Practice Address - Street 2:
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-4573
Practice Address - Country:US
Practice Address - Phone:847-855-1570
Practice Address - Fax:847-855-1890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty