Center for Neurological Diseases S.C

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

036097009 Issued in IL

Legal business name

CENTER FOR NEUROLOGICAL DISEASES S.C

Practice address

2222 Weber Rd
Crest Hill, IL 60403-0928

Phone

(815) 741-9719

Fax

(815) 744-5137

NPI assigned

Jun 24, 2006

Last updated

Oct 22, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rakesh Vedavyas, MR

Title

Manager

Phone

(815) 741-9719

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Tax ID family

Center for Neurological Diseases2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Center for Neurological Diseases

  • Family Nurse Practitioner
  • Crest Hill, IL
  • NPI 1790236362
  NPD tax ID

Locations

Practitioners 2

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.

• Nitin Nadkarni, M.D.

  • Specialist
  • Crest Hill, IL
  • NPI 1841262961
  Medicare reassignment Care Compare group NPD
• Tanvi Nadkarni

  • Neurology Physician
  • Chicago, IL
  • NPI 1124688957
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1316973977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 WEBER RD",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604030928",
            "telephone_number": "815-741-9719",
            "fax_number": "815-744-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 WEBER RD",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604030928",
            "telephone_number": "815-741-9719",
            "fax_number": "815-744-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR NEUROLOGICAL DISEASES S.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "VEDAVYAS",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "815-741-9719",
        "authorized_official_credential": "MR"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036097009",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036115848",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036083980",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caren Lynn Weisz (Pediatric Optometry Associates)
• Carolyn Whitfield, DPM, PC
• Donna G. Carver, O.D
• Catholic Charities of the Diocese of Joliet
• Center for Neurological Diseases
• Minakshi Charan, PT, DPT
• Jessica Chavez, RBT
• Patricia Chavez, LPC
• Laura Chesky
• Brody Chmielewski

• Neurological Surgery Physician in Crest Hill, IL
• Providers in Crest Hill, 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 Oct 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.