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ALLERGY, ASTHMA & IMMUNOLOGY CENTER SC
NPI 1184829210
Allergy & Immunology in Shiloh, IL

Active since June 19, 2007CLIA Certified · 2 labs
325 TAMARACK LN, SHILOH, IL 62269(618) 624-2060(618) 624-2226 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Allergy, Asthma & Immunology Center Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALLERGY, ASTHMA & IMMUNOLOGY CENTER SC (NPI 1184829210) is a healthcare organization registered as an allergy & immunology in Shiloh, Illinois and active in the NPI registry since June 2007. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Patrick Win, President, as its authorized official.

NPPES Registry Identity

NPI1184829210
Entity TypeOrganization
Primary Taxonomy207K00000X
Legal Business NameALLERGY, ASTHMA & IMMUNOLOGY CENTER SC
Location Address325 TAMARACK LNShiloh, IL 62269-2993
Mailing Address325 Tamarack LnShiloh, IL 62269-2993 · (618) 624-2060 · Fax (618) 624-2226
Phone(618) 624-2060
Fax(618) 624-2226
Organization SubpartNo
Authorized OfficialPatrick WinPresident · (618) 624-2060
Enumeration DateJune 19, 2007
Last NPPES UpdateApril 29, 2025
NPPES CertifiedApril 29, 2025
✔ NPI 1184829210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
325 TAMARACK LN, Shiloh, IL 62269
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12023 Vadalabene Dr Ste 151Maryville, IL 62062-5845 · Phone (618) 624-2060 · Fax (618) 624-2226
Location 2425 N New Ballas Rd Ste 203Saint Louis, MO 63141-6848 · Phone (314) 872-3104 · Fax (314) 994-7105

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Allergy, Asthma & Immunology Center Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Allergy, Asthma & Immunology Center Sc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Anna Hagnauer, DNP FNP-C
Nurse Practitioner
NPI 1083208565
325 TAMARACK LN
Shiloh, IL 62269
(618) 624-2060
✔ PECOS✔ Accepts MedicareSame address
Patrick Win, M.D.
Allergy/Immunology
NPI 1346335783
325 TAMARACK LN
Shiloh, IL 62269
(618) 624-2060
✔ PECOS✔ Accepts MedicareSame address
Fatima Arabia Matamoros
Nurse Practitioner
NPI 1235077660
2023 VADALABENE DR STE 151
Maryville, IL 62062
(618) 624-2060
✔ PECOS12 mi
Jacquelyn Sturm, M.D.
Allergy/Immunology
NPI 1134311087
1001 CHESTERFIELD PKWY E STE 101
Chesterfield, MO 63017
(314) 878-3839
✔ PECOS✔ Accepts Medicare36 mi
Joseph Diaz, M.D.
Allergy/Immunology
NPI 1417948241
2414 BABCOCK RD SUITE 109
San Antonio, TX 78229
(210) 616-0882
✔ PECOS✔ Accepts Medicare798 mi
Kelsey Usselmann, FNP-BC
Nurse Practitioner
NPI 1417510082
6200 DE SOTO AVE APT 36420
Woodland Hills, CA 91367
(618) 806-2996
✔ PECOS✔ Accepts Medicare1,621 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D2330086

Allergy, Asthma & Immunology Center · Maryville, IL
Active · expires Sep 9, 2027
CLIA Number14D2330086
Laboratory TypePhysician Office
Certificate Effective DateSeptember 10, 2025
Certificate Expiration DateSeptember 9, 2027
Laboratory DirectorPatrick H. Win
Laboratory Phone(618) 624-2060
Laboratory LocationAllergy, Asthma & Immunology Center2023 Vadalabene Dr - Ste 151, Maryville, IL 62062
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D2330100

Allergy, Asthma & Immunology Center · Shiloh, IL
Active · expires Sep 9, 2027
CLIA Number14D2330100
Laboratory TypePhysician Office
Certificate Effective DateSeptember 10, 2025
Certificate Expiration DateSeptember 9, 2027
Laboratory DirectorPatrick H. Win
Laboratory Phone(618) 624-2060
Laboratory LocationAllergy, Asthma & Immunology Center325 Tamarack Lane, Shiloh, IL 62269
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Allergy, Asthma & Immunology Center Sc's NPI number?

The NPI number for Allergy, Asthma & Immunology Center Sc is 1184829210. It was assigned to this organization in the NPPES registry on June 19, 2007.

Where is Allergy, Asthma & Immunology Center Sc located?

Allergy, Asthma & Immunology Center Sc is located at 325 Tamarack Ln, Shiloh, IL 62269. The listed phone number is (618) 624-2060.

What is Allergy, Asthma & Immunology Center Sc's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Allergy, Asthma & Immunology Center Sc enrolled in Medicare?

Yes. Allergy, Asthma & Immunology Center Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Allergy, Asthma & Immunology Center Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Allergy, Asthma & Immunology Center Sc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Allergy/Immunology (3) and Nurse Practitioner (3). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Allergy, Asthma & Immunology Center Sc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Allergy, Asthma & Immunology Center Sc accept?

Health plans from Anthem Blue Cross and Blue Shield and Medica list Allergy, Asthma & Immunology Center Sc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Allergy, Asthma & Immunology Center Sc was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.