Tower Plaza Neurology SC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

036057704 Issued in IL

Legal business name

TOWER PLAZA NEUROLOGY SC

Practice address

475 Brown Blvd
Suite 101
Bourbonnais, IL 60914-2325

Phone

(815) 939-7421

NPI assigned

Jun 7, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Michael J Sergeant Sr., MD

Title

President

Phone

(815) 938-7421

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413417600000",
    "number": "1053672832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 BROWN BLD",
            "address_2": "SUITE 101",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142325",
            "telephone_number": "815-939-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 BROWN BLVD",
            "address_2": "SUITE 101",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142325",
            "telephone_number": "815-939-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWER PLAZA NEUROLOGY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-07",
        "last_updated": "2014-10-16",
        "status": "A",
        "authorized_official_last_name": "SERGEANT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-938-7421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036057704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiiri Tamm Tietjens, DDS
• Paritosh Tiwari
• Emily Rose Tlapa
• Calynn Toberman, LCSW
• Deborah Ann Totos, O.D.
• James R Tripp, DC
• Zhiming Tu, OD
• Jessica Marie Tupy
• Turning Point Counseling Center, LLC
• Ashraf Arman Uddin

• Neurology Physician in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Neurology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; 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.