Active NPI
Alexander Adam Eschbach, PH.D.
- Clinical Neuropsychologist
- Hoffman Estates, IL
National Provider Identifier
1417940610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- Practice address
- 1000 Grand Canyon Pkwy
Suite 203
Hoffman Estates, IL 60194-1705 - Phone
- (847) 755-0555
- Fax
- (847) 755-0580
- NPI assigned
- Aug 24, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | IL | Primary | |
| Clinical Psychologist | 103TC0700X | IL |
Addresses
Primary practice location
1000 Grand Canyon Pkwy
Suite 203
Hoffman Estates, IL 60194-1705
Mailing address
800 E. Woodfield Road
Suite 610
Schaumburg, IL 60173
Phone (847) 240-0444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1622330 | Other | IL | BLUE CROSS / BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071-003773 | IL | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1417940610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 E. WOODFIELD ROAD",
"address_2": "SUITE 610",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "60173",
"telephone_number": "847-240-0444",
"fax_number": "847-240-0446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 GRAND CANYON PKWY",
"address_2": "SUITE 203",
"city": "HOFFMAN ESTATES",
"state": "IL",
"postal_code": "601941705",
"telephone_number": "847-755-0555",
"fax_number": "847-755-0580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESCHBACH",
"first_name": "ALEXANDER",
"middle_name": "ADAM",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-24",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "IL",
"license": null,
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS / BLUE SHIELD",
"identifier": "1622330",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hoffman Estates, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.