Organization Active NPI

Nuwave Monitoring, LLC

  • Neurology Physician
  • Homewood, IL
National Provider Identifier
1205073624
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NUWAVE MONITORING, LLC
Practice address
2024 Hickory Rd
Suite 301
Homewood, IL 60430-2125
Phone
(708) 799-6900
Fax
(708) 799-6913
NPI assigned
Jan 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Authorized official

Name
Tom Boecker
Title
Co Owner
Phone
(708) 799-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

2024 Hickory Rd
Suite 301
Homewood, IL 60430-2125

Mailing address

2024 Hickory Rd
Suite 301
Homewood, IL 60430-2125
Phone (708) 799-6900

National Provider Directory

National Provider Directory

Locations

3330 W 177th St
Ste 2B
Hazel Crest, IL 60429
Phone (708) 249-8346

2024 Hickory Rd
Ste 301
Homewood, IL 60430
Phone (708) 799-6900

130 Commerce Sq
Michigan City, IN 46360
Phone (219) 878-9870

Practitioners & affiliated clinicians

Practitioners 4

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": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1205073624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 HICKORY RD",
            "address_2": "SUITE 301",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302125",
            "telephone_number": "708-799-6900",
            "fax_number": "708-799-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 HICKORY RD",
            "address_2": "SUITE 301",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302125",
            "telephone_number": "708-799-6900",
            "fax_number": "708-799-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUWAVE MONITORING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "BOECKER",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "708-799-6900"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.