Provider Demographics
NPI:1306191812
Name:ASTHMA AND ALLERGY CLINIC LTD C/O DR JAHANGEER DOGAR
Entity Type:Organization
Organization Name:ASTHMA AND ALLERGY CLINIC LTD C/O DR JAHANGEER DOGAR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAHANGEER
Authorized Official - Middle Name:
Authorized Official - Last Name:DOGAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-261-1000
Mailing Address - Street 1:1 SOUTH 132 SUMMIT AVE.
Mailing Address - Street 2:SUITE 102
Mailing Address - City:OAKBROOK TERRACE
Mailing Address - State:IL
Mailing Address - Zip Code:60181
Mailing Address - Country:US
Mailing Address - Phone:630-261-1000
Mailing Address - Fax:630-261-1047
Practice Address - Street 1:1 SOUTH 132 SUMMIT AVE.
Practice Address - Street 2:SUITE 102
Practice Address - City:OAKBROOK TERRACE
Practice Address - State:IL
Practice Address - Zip Code:60181
Practice Address - Country:US
Practice Address - Phone:630-261-1000
Practice Address - Fax:630-261-1047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-20
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-074820207KI0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KI0005XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyClinical & Laboratory ImmunologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
F39441Medicare UPIN
204660Medicare PIN