Chicago Neurospine Surgery PLLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

CHICAGO NEUROSPINE SURGERY PLLC

Doing business as

Chicago Neurospine Surgery, PLLC

Practice address

19110 Darvin Dr Ste C
Mokena, IL 60448-8683

Phone

(708) 765-3999

Fax

(708) 765-3939

NPI assigned

Nov 12, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Milly Castillo

Title

Office Manager

Phone

(708) 765-3999

Specialties & licenses 1

Addresses

Other names 1

• Chicago Neurospine Surgery, PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Chicago Neurospine Surgry PLLC

  • Neurological Surgery Physician
  • Des Plaines, IL
  • NPI 1336805795

  O20220209002360

  Same enrollment

Locations

Practitioners 5

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

• Katarzyna Gacek, FNP-BC

  • Family Nurse Practitioner
  • Carol Stream, IL
  • NPI 1588320790
  Medicare reassignment Care Compare group NPD
• Sean A Salehi, MD

  • Neurological Surgery Physician
  • Mokena, IL
  • NPI 1326006842
  Medicare reassignment Care Compare group NPD
• Cary Robert Templin, M.D.

  • Orthopaedic Surgery Physician
  • Joliet, IL
  • NPI 1659395119
  Medicare reassignment Care Compare group NPD
• Elizabeth Alice Koch, PA-C

  • Surgical Physician Assistant
  • Westchester, IL
  • NPI 1023269446
  Medicare reassignment Care Compare group
• Natalie Nehart, PA-C

  • Physician Assistant
  • Chicago, IL
  • NPI 1396028296
  Medicare reassignment

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1033875125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19110 DARVIN DR STE C",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488683",
            "telephone_number": "708-765-3999",
            "fax_number": "708-765-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19110 DARVIN DR STE C",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488683",
            "telephone_number": "708-765-3999",
            "fax_number": "708-765-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO NEUROSPINE SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-12",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "MILLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "708-765-3999",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chicago Neurospine Surgery, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Danielle Chapa, DPT
• Patricia Chen
• Nicole Marie Chenoweth
• Chicvara & Associates
• Rosalba Chirinos, SA
• Chiro One Wellness Center of Mokena LLC
• Choice Therapy Services, LTD
• Diana Chojna, APRN, CNP

• Neurological Surgery Physician in Mokena, IL
• Providers in Mokena, IL by specialty
• Neurological Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.