NPIMap

Organization Active NPI

Neurospinal Center

  • Multi-Specialty Clinic/Center
  • Westmont, IL
National Provider Identifier
1194759142
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
60-002022 Issued in IL
Legal business name
NEUROSPINAL CENTER
Practice address
519 N Cass Ave
4TH Floor
Westmont, IL 60559-1514
Phone
(630) 969-4355
Fax
(630) 969-4527
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Drew S Kandilakis, D.C.
Title
Clinic Director
Phone
(630) 969-4355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 60-002022 IL Primary

Addresses

Primary practice location

519 N Cass Ave
4TH Floor
Westmont, IL 60559-1514

Mailing address

519 N Cass Ave
4TH Floor
Westmont, IL 60559-1514
Phone (630) 969-4355

National Provider Directory

National Provider Directory

Locations

640 E Saint Charles Rd
Ste 202
Carol Stream, IL 60188
Phone (630) 260-2550

528 N Cass Ave
Westmont, IL 60559
Phone (312) 969-4355

519 N Cass Ave
Westmont, IL 60559
Phone (630) 470-6210

Practitioners & affiliated clinicians

Practitioners 8

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": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1194759142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 N CASS AVE",
            "address_2": "4TH FLOOR",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591514",
            "telephone_number": "630-969-4355",
            "fax_number": "630-969-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 N CASS AVE",
            "address_2": "4TH FLOOR",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591514",
            "telephone_number": "630-969-4355",
            "fax_number": "630-969-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSPINAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KANDILAKIS",
        "authorized_official_first_name": "DREW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "630-969-4355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "IL",
            "license": "60-002022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westmont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.