Active NPI
Trichinapally S Neelakantam MD S C
- Family Medicine Physician
- Aurora, IL
National Provider Identifier
1124002290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- TRICHINAPALLY S NEELAKANTAM MD S C
- Practice address
- 1240 N Highland Ave
Suite 22
Aurora, IL 60506-1450 - Phone
- (630) 844-1818
- Fax
- (630) 844-1429
- NPI assigned
- Dec 2, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Trichniapally S Neelakantam, MD
- Title
- President
- Phone
- (630) 844-1818
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | IL | Primary |
Addresses
Primary practice location
1240 N Highland Ave
Suite 22
Aurora, IL 60506-1450
Mailing address
1240 N Highland Ave
Suite 22
Aurora, IL 60506-1450
Phone (630) 844-1818
National Provider Directory
National Provider DirectoryLocations
1240 N Highland Ave
Ste 22
Aurora, IL 60506
Phone (312) 844-1818
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Aurora, IL
- NPI 1881875136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1124002290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 N HIGHLAND AVE",
"address_2": "SUITE 22",
"city": "AURORA",
"state": "IL",
"postal_code": "605061450",
"telephone_number": "630-844-1818",
"fax_number": "630-844-1429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 N HIGHLAND AVE",
"address_2": "SUITE 22",
"city": "AURORA",
"state": "IL",
"postal_code": "605061450",
"telephone_number": "630-844-1818",
"fax_number": "630-844-1429"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRICHINAPALLY S NEELAKANTAM MD S C",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NEELAKANTAM",
"authorized_official_first_name": "TRICHNIAPALLY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-844-1818",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, 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.