Neuralwatch Illinois, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

NEURALWATCH ILLINOIS, LLC

Practice address

812 Avis Dr
Ann Arbor, MI 48108-9649

Phone

(734) 213-3920

Fax

(866) 634-2766

NPI assigned

Feb 3, 2009

Organization subpart

No

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

Authorized official

Name

Gene Balzer

Title

Ceo

Phone

73473213920

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1114165842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 AVIS DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481089649",
            "telephone_number": "734-213-3920",
            "fax_number": "866-634-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 AVIS DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481089649",
            "telephone_number": "734-213-3920",
            "fax_number": "866-634-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURALWATCH ILLINOIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "BALZER",
        "authorized_official_first_name": "GENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "73473213920"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Catherine Neumann, R.PH.
• Robert W Neumar, MD
• Neural Watch LLC
• Neuralview Medical Group PC
• Neuralwatch Colorado PLLC
• Neuralwatch Indiana LLC
• Neuralwatch Iowa PC
• Neuralwatch Michigan PLLC
• Neuralwatch Minnesota PLLC
• Neuralwatch New Jersey, LLC

• Specialist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.