Associated University Neurosurgeons SC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

ASSOCIATED UNIVERSITY NEUROSURGEONS SC

Practice address

719 N William Kumpf Blvd
Suite 100
Peoria, IL 61605

Phone

(309) 676-0766

Fax

(309) 676-5920

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Patrick Terence Tracy, MD

Title

President Associated University Neu

Phone

(309) 676-0766

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Julian Jwchun Lin, MD

  • Neurological Surgery Physician
  • Peoria, IL
  • NPI 1437104593
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265487664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 N WILLIAM KUMPF BLVD",
            "address_2": "SUITE 100",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "61605",
            "telephone_number": "309-676-0766",
            "fax_number": "309-676-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 N WILLIAM KUMPF BLVD",
            "address_2": "SUITE 100",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "61605",
            "telephone_number": "309-676-0766",
            "fax_number": "309-676-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED UNIVERSITY NEUROSURGEONS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRACY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "TERENCE",
        "authorized_official_title_or_position": "PRESIDENT ASSOCIATED UNIVERSITY NEU",
        "authorized_official_telephone_number": "309-676-0766",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Associated Anesthesiologists, S.C.
• Associated Anesthesiologists, SC
• Associated Oral and Maxillofacial Surgeons of Peoria, LTD
• Associated Orthopedics SC
• Associated Surgical Group, SC
• Associates in Dentistry
• Associates in Mental Health, SC
• Adee Athiyaman, MD
• Angel D Atkins, CNM, WHNP, APN
• Devon Alicia Atkins, M.A.

• Neurological Surgery Physician in Peoria, IL
• Providers in Peoria, IL by specialty
• Neurological Surgery 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.