Allport Clinic, LLC
Pediatrics in Chicago, IL. Organization (NPI-2).
NPI number1528090933
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1528090933
- Entity type
- Organization (NPI-2)
- Legal business name
- Allport Clinic, LLC
- Organization subpart
- No
- Enumeration date
- Jul 7, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 036065899 | IL | Yes |
| 207Q00000X | Family Medicine | 036045400 | IL |
Practice location
1239 W 18th StChicago, IL 60608-3242
Phone 312-738-3111 · Fax 312-738-2577
Mailing address
1239 W 18th StChicago, IL 60608-3242
Phone 312-738-3111 · Fax 312-738-2577
Authorized official
Yeun Hie Kim
Office Manager
3127383111
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