Organization Active NPI

Sound Vascular Neurology PLLC

  • Vascular Neurology Physician
  • Chicago, IL
National Provider Identifier
1124992391
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
Legal business name
SOUND VASCULAR NEUROLOGY PLLC
Practice address
980 N Michigan Ave Suite 1085
Chicago, IL 60611
Phone
(630) 447-0561
NPI assigned
Oct 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Authorized official

Name
Dr. Mark Nathan Rubin, MDNPI 1104055169
Title
Physician Owner
Phone
(630) 447-0561

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084V0102X Primary

Addresses

Primary practice location

980 N Michigan Ave Suite 1085
Chicago, IL 60611

Mailing address

2045 W Grand Ave Ste B
Chicago, IL 60612-1577
Phone (630) 447-0561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251104002689 IL Part B Supplier - Clinic/Group Practice 0941790489 Receives reassigned benefits from 1 practitioner
Practice locations: Naperville, IL

National Provider Directory

National Provider Directory

Locations

980 N Michigan Ave
Ste 1085
Chicago, IL 60611
Phone (630) 447-0561

1552 S Route 59
Naperville, IL 60564
Phone (815) 414-6498

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1759276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1124992391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 W GRAND AVE STE B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121577",
            "telephone_number": "630-447-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 N MICHIGAN AVE SUITE 1085",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60611",
            "telephone_number": "630-447-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND VASCULAR NEUROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-01",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "NATHAN",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "630-447-0561",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084V0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 25, 2025; 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.