Provider Demographics
NPI:1548440704
Name:ALLERGY CENTER INC.
Entity type:Organization
Organization Name:ALLERGY CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.,
Authorized Official - Prefix:DR
Authorized Official - First Name:JANUSZ
Authorized Official - Middle Name:
Authorized Official - Last Name:LANGIEWICZ
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD,
Authorized Official - Phone:847-304-6999
Mailing Address - Street 1:1 EXECUTIVE CT STE 3
Mailing Address - Street 2:
Mailing Address - City:SOUTH BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-9533
Mailing Address - Country:US
Mailing Address - Phone:847-304-6999
Mailing Address - Fax:847-304-6888
Practice Address - Street 1:1 EXECUTIVE CT STE 3
Practice Address - Street 2:
Practice Address - City:SOUTH BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-9533
Practice Address - Country:US
Practice Address - Phone:847-304-6999
Practice Address - Fax:847-304-6888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-05
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036075029261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036075029Medicaid
IL036075029Medicaid
ILE29407Medicare UPIN