Organization Active NPI

Midwest Neurolodiagnostic Specialists

Doing business as midwest neurodiagnostic specialists

  • Neurology Chiropractor
  • Chicago, IL
National Provider Identifier
1063618973
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
Legal business name
MIDWEST NEUROLODIAGNOSTIC SPECIALISTS
Doing business as
midwest neurodiagnostic specialists
Practice address
3358 W 26TH St
Chicago, IL 60623-4037
Phone
(773) 522-3926
Fax
(773) 522-1343
NPI assigned
Jun 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Carlos Halwaji I, DCNPI 1669546313
Title
Neurologist
Phone
(773) 522-3926

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN0400X 4121012 WI
Neurology ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN0400X IL Primary

Addresses

Primary practice location

3358 W 26TH St
Chicago, IL 60623-4037

Mailing address

3358 W 26TH St
Chicago, IL 60623-4037
Phone (773) 522-3926

Other names 1

  • midwest neurodiagnostic specialists Doing business as

National Provider Directory

National Provider Directory

Locations

3358 W 26th St
Chicago, IL 60623
Phone (773) 522-1340

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063618973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3358 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234037",
            "telephone_number": "773-522-3926",
            "fax_number": "773-522-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3358 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234037",
            "telephone_number": "773-522-3926",
            "fax_number": "773-522-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST NEUROLODIAGNOSTIC SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALWAJI",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "NEUROLOGIST",
        "authorized_official_telephone_number": "773-522-3926",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "WI",
            "license": "4121012",
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "midwest neurodiagnostic specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.