Organization Active NPI

Brightwater & Associates LLC

  • Neurology Physician
  • Chicago, IL
National Provider Identifier
1306203658
Registry record updated Jan 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
036124195 Issued in IL
Legal business name
BRIGHTWATER & ASSOCIATES LLC
Practice address
1528 W Monroe St
Chicago, IL 60607-2459
Phone
(630) 335-3243
NPI assigned
Jan 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2016

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

Authorized official

Name
Mr. Francis Keating, D.O.NPI 1831102250
Title
President
Phone
(630) 335-3243

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X 036124195 IL Primary

Addresses

Primary practice location

1528 W Monroe St
Chicago, IL 60607-2459

Mailing address

1528 W Monroe St
Chicago, IL 60607-2459
Phone (630) 335-3243

National Provider Directory

National Provider Directory

Locations

75 Executive Dr
Ste 309
Aurora, IL 60504
Phone (215) 285-0120

Practitioners & affiliated clinicians

Practitioners 3

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": "1453075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453075200000",
    "number": "1306203658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 W MONROE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072459",
            "telephone_number": "630-335-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 W MONROE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072459",
            "telephone_number": "630-335-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTWATER & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-18",
        "last_updated": "2016-01-18",
        "status": "A",
        "authorized_official_last_name": "KEATING",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-335-3243",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036124195",
            "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 Jan 18, 2016; 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.