Chicago Neurospine Surgry PLLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

CHICAGO NEUROSPINE SURGRY PLLC

Practice address

9700 Golf Road
Des Plaines, IL 60016

Phone

(708) 765-3999

NPI assigned

Nov 10, 2021

Last updated

Nov 10, 2021By 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

Milly Castillo

Title

Office Manager

Phone

(708) 765-3999

Specialties & licenses 1

Addresses

Other names 1

• Chicago Neurospine Surgry PLLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Chicago Neurospine Surgery PLLC

  • Neurological Surgery Physician
  • Mokena, IL
  • NPI 1033875125

  O20220209002360

  Same enrollment

Locations

Practitioners 3

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.

• Katarzyna Gacek, FNP-BC

  • Family Nurse Practitioner
  • Carol Stream, IL
  • NPI 1588320790
  NPD
• Elizabeth Alice Koch, PA-C

  • Surgical Physician Assistant
  • Westchester, IL
  • NPI 1023269446
  NPD
• Sean A Salehi, MD

  • Neurological Surgery Physician
  • Mokena, IL
  • NPI 1326006842
  NPD

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1336805795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19110 DARVIN DR STE C",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488683",
            "telephone_number": "708-765-3999",
            "fax_number": "888-407-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 GOLF ROAD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "60016",
            "telephone_number": "708-765-3999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19110 Darvin Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Mokena",
            "state": "IL",
            "postal_code": "604488683",
            "country_code": "US",
            "telephone_number": "708-765-3999",
            "fax_number": "888-407-6127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHICAGO NEUROSPINE SURGRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "MILLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "708-765-3999"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chicago Neurospine Surgry PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Chicago Midwest Home Health Inc.
• Chicago Neuropsychology Institute
• Chicagoland Oculoplastics Consultants PLLC
• Children's Home and Aid
• Alexandra Childs, LCSW
• Radhika Chimata, M.D.
• Joseph Chimino, D.O.

• Neurological Surgery Physician in Des Plaines, IL
• Providers in Des Plaines, 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 Nov 10, 2021; 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.