Organization Active NPI

University Spine Surgeons, LLC

  • Neurological Surgery Physician
  • Chicago, IL
National Provider Identifier
1255985891
Registry record updated Nov 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
UNIVERSITY SPINE SURGEONS, LLC
Practice address
20 N Clark St Ste 3300
Chicago, IL 60602-5089
Phone
(312) 561-2329
Fax
(312) 577-0800
NPI assigned
Jul 31, 2019
Last updated
Nov 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2020

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

Authorized official

Name
Dr. Sergey Neckrysh, MD
Title
Director
Phone
(312) 561-2329

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X Primary

Addresses

Primary practice location

20 N Clark St Ste 3300
Chicago, IL 60602-5089

Mailing address

455 N Cityfront Plaza Dr Ste 3100
Chicago, IL 60611-5328
Phone (312) 561-2329

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606435200000",
    "number": "1255985891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 N CITYFRONT PLAZA DR STE 3100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115328",
            "telephone_number": "312-561-2329",
            "fax_number": "312-577-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N CLARK ST STE 3300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606025089",
            "telephone_number": "312-561-2329",
            "fax_number": "312-577-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY SPINE SURGEONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-31",
        "last_updated": "2020-11-27",
        "certification_date": "2020-11-27",
        "status": "A",
        "authorized_official_last_name": "NECKRYSH",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "312-561-2329",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "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 27, 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.