Organization Active NPI

Neurological Surgery and Spine Surgery S C

  • Neurological Surgery Physician
  • Westchester, IL
National Provider Identifier
1003856758
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
NEUROLOGICAL SURGERY AND SPINE SURGERY S C
Practice address
1 Westbrook Corporate Ctr
Ste 800
Westchester, IL 60154-5701
Phone
(708) 343-3566
Fax
(708) 343-9235
NPI assigned
Jun 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Andrew Stephen Zelby, MD
Title
President
Phone
(708) 343-3566

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X IL Primary
Prosthetic/Orthotic Supplier 335E00000X 5553530001 IL

Addresses

Primary practice location

1 Westbrook Corporate Ctr
Ste 800
Westchester, IL 60154-5701

Mailing address

1 Westbrook Corporate Center
Ste 800
Westchester, IL 60154-5703
Phone (708) 343-3566

Other identifiers 4

IdentifierTypeStateIssuer
1632283OtherILBLUE SHIELD PROVIDER NUMB
139085200OtherILDEPT OF LABOR
140007836OtherILRAILROAD MEDICARE
CJ8518OtherRR MEDICARE DUPAGE CO

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003856758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WESTBROOK CORPORATE CENTER",
            "address_2": "STE 800",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601545703",
            "telephone_number": "708-343-3566",
            "fax_number": "708-343-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WESTBROOK CORPORATE CTR",
            "address_2": "STE 800",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601545701",
            "telephone_number": "708-343-3566",
            "fax_number": "708-343-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGICAL SURGERY AND SPINE SURGERY S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ZELBY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-343-3566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "IL",
            "license": "5553530001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NUMB",
            "identifier": "1632283",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "139085200",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "140007836",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE DUPAGE CO",
            "identifier": "CJ8518",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westchester, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.