Diagnostic Neurology, LTD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

DIAGNOSTIC NEUROLOGY, LTD

Practice address

444 N Northwest Hwy
Ste 200
Park Ridge, IL 60068-3263

Phone

(847) 825-2366

Fax

(847) 825-2513

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

Jules T Koveleski, M.D.NPI 1144273897

Title

President

Phone

(847) 825-2366

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Jules T Koveleski, M.D.

  • Neurology Physician
  • Orland Park, IL
  • NPI 1144273897
  NPD (past) Authorized official
• Subhasree Misra, M.D.

  • Neurology Physician
  • Lombard, IL
  • NPI 1326092362
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164475737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388320",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606388320",
            "telephone_number": "773-767-8283",
            "fax_number": "773-767-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N NORTHWEST HWY",
            "address_2": "STE 200",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683263",
            "telephone_number": "847-825-2366",
            "fax_number": "847-825-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC NEUROLOGY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOVELESKI",
        "authorized_official_first_name": "JULES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-825-2366",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "01615936",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eugene Edmund Dezanek, DPM
• Anu M Dharod
• Nancy J Dhooghe, CCC-SLP
• Xanthe Cindy Di Cicco, RD
• Irene Di Minervino, DT
• Dialogue Clinic PLLC
• Ryne J Diamond, MD
• Sandra Diamond
• Lori Diamos, PT
• Nicolette Diana

• Neurology Physician in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Neurology Physician in Illinois

• 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.