Windy City Neuropsychology LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

WINDY CITY NEUROPSYCHOLOGY LLC

Practice address

4747 W Peterson Ave Ste 303
Chicago, IL 60646-5748

Phone

(773) 606-4303

NPI assigned

Jul 10, 2024

Organization subpart

No

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

Authorized official

Name

Heather Castillo

Title

Manager

Phone

(773) 606-4303

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael John Wilson, PH.D.

  • Clinical Neuropsychologist
  • Chicago, IL
  • NPI 1386203537
  Medicare reassignment NPD

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1023855616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 N MILTIMORE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 W PETERSON AVE STE 303",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465748",
            "telephone_number": "773-606-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDY CITY NEUROPSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-606-4303"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Windy City Emergency Physicians LLC
• Windy City Eyes PC
• Windy City Foot & Ankle Physicians, LLC.
• Windy City Health Partners PLLC
• Windy City Infectious Diseases PLLC
• Windy City O.T. PLLC
• Windy City Orthodontics, LTD.
• Windy City Orthopaedics and Sports Medicine LTD
• Windy City Orthopedics and Sports Medicine
• Windy City Orthopedics and Sports Medicine

• Clinical Neuropsychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Neuropsychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.