NPIMap

Organization Active NPI

Access Neurocare PC

  • Neurology Physician
  • Elgin, IL
National Provider Identifier
1306948534
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
ACCESS NEUROCARE PC
Practice address
750 Fletcher Drive
Suite 204
Elgin, IL 60123-4736
Phone
(847) 931-4626
Fax
(847) 931-4794
NPI assigned
Sep 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Mohamed Kaseer Ghumra, MDNPI 1629094834
Title
Physician
Phone
(847) 931-4626

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X IL
Neurology Physician 2084N0400X IL Primary

Addresses

Primary practice location

750 Fletcher Drive
Suite 204
Elgin, IL 60123-4736

Mailing address

750 Fletcher Drive
Suite 204
Elgin, IL 60123-4736
Phone (847) 931-4626

National Provider Directory

National Provider Directory

Locations

750 Fletcher Dr
Ste 204
Elgin, IL 60123
Phone (847) 931-4526

860 Summit St
Ste 154
Elgin, IL 60120
Phone (312) 382-2825

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306948534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 FLETCHER DRIVE",
            "address_2": "SUITE 204",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234736",
            "telephone_number": "847-931-4626",
            "fax_number": "847-931-4794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 FLETCHER DRIVE",
            "address_2": "SUITE 204",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234736",
            "telephone_number": "847-931-4626",
            "fax_number": "847-931-4794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS NEUROCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GHUMRA",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "KASEER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "847-931-4626",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • 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.