Advanced Neurology & Sleep Clinic LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

036-108636 Issued in IL

Legal business name

ADVANCED NEUROLOGY & SLEEP CLINIC LLC

Practice address

40 N Airlite St Ste 4
Elgin, IL 60123-4965

Phone

(847) 628-9977

Fax

(847) 628-9955

NPI assigned

Feb 14, 2013

Organization subpart

No

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

Authorized official

Name

Syed M Munzir, M.DNPI 1255356762

Title

President

Phone

(847) 628-9977

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 2

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

• Syed Mohammed Munzir, MD

  • Neurology Physician
  • Elgin, IL
  • NPI 1255356762
  Medicare reassignment Care Compare group NPD Authorized official
• Pradip Sethi, MD

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Elgin, IL
  • NPI 1013009653
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511827200000",
    "number": "1407196256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 WILLOW BAY DR",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600107116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N AIRLITE ST STE 4",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234965",
            "telephone_number": "847-628-9977",
            "fax_number": "847-628-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED NEUROLOGY & SLEEP CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-14",
        "last_updated": "2017-11-28",
        "status": "A",
        "authorized_official_last_name": "MUNZIR",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-628-9977",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036-108636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Elgin, IL
• Providers in Elgin, IL by specialty
• Neurology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; 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.