SOUTHTOWN ALLERGY AND ASTHMA CARE, PC
NPI 1396916409
Allergy & Immunology in Tinley Park, IL

Active since March 17, 2008
18210 LA GRANGE RD, SUITE 201, TINLEY PARK, IL 60487(708) 945-6328 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Southtown Allergy And Asthma Care, Pc NPPES

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

SOUTHTOWN ALLERGY AND ASTHMA CARE, PC (NPI 1396916409) is a healthcare organization registered as an allergy & immunology in Tinley Park, Illinois and active in the NPI registry since March 2008. The organization lists Miguel Jaen Alcordo, Md, as its authorized official.

NPPES Registry Identity

NPI1396916409
Entity TypeOrganization
Primary Taxonomy207K00000X
Legal Business NameSOUTHTOWN ALLERGY AND ASTHMA CARE, PC
Location Address18210 LA GRANGE RD, SUITE 201Tinley Park, IL 60487-7722
Mailing Address18210 La Grange Rd Ste 201Tinley Park, IL 60487-7725 · (708) 945-6328 · Fax (708) 478-1286
Organization SubpartNo
Authorized OfficialMiguel Jaen AlcordoMd · (708) 945-6332
Enumeration DateMarch 17, 2008
Last NPPES UpdateDecember 23, 2025
NPPES CertifiedDecember 23, 2025
✔ NPI 1396916409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in IL · 036083285
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.
18210 LA GRANGE RD, Tinley Park, IL 60487

Other Identifiers 1

Other036083285IL · License

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southtown Allergy And Asthma Care, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southtown Allergy And Asthma Care, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Allergy/Immunology
NPI 1477553899
18210 LA GRANGE RD SUITE 201
Tinley Park, IL 60487
(708) 945-6328
✔ PECOS✔ Accepts MedicareSame address

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

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 Southtown Allergy And Asthma Care, PC's NPI number?

The NPI number for Southtown Allergy And Asthma Care, PC is 1396916409. It was assigned to this organization in the NPPES registry on March 17, 2008.

Where is Southtown Allergy And Asthma Care, PC located?

Southtown Allergy And Asthma Care, PC is located at 18210 La Grange Rd Suite 201, Tinley Park, IL 60487. The listed phone number is (708) 945-6328.

What is Southtown Allergy And Asthma Care, PC's specialty?

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

Is Southtown Allergy And Asthma Care, PC enrolled in Medicare?

Yes. Southtown Allergy And Asthma Care, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southtown Allergy And Asthma Care, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Allergy/Immunology) reassigns their Medicare billing to Southtown Allergy And Asthma Care, PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southtown Allergy And Asthma Care, PC was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.