Organization Active NPI

Neil D. Pollock, M.D. S.C.

  • Specialist
  • Libertyville, IL
National Provider Identifier
1437329455
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036044374 Issued in IL
Legal business name
NEIL D. POLLOCK, M.D. S.C.
Practice address
890 Garfield Ave Ste 106
Libertyville, IL 60048-3100
Phone
(847) 367-7470
Fax
(847) 367-4901
NPI assigned
Mar 5, 2008
Last updated
Jun 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Neil D. Pollock, M.D., S.C.NPI 1982696787
Title
President
Phone
(847) 367-7470

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 036044374 IL Primary

Addresses

Primary practice location

890 Garfield Ave Ste 106
Libertyville, IL 60048-3100

Mailing address

890 Garfield Ave Ste 106
Libertyville, IL 60048-3100
Phone (847) 367-7470

National Provider Directory

National Provider Directory

Locations

1170 E Belvidere Rd
Ste 101
Grayslake, IL 60030
Phone (847) 548-0123

890 Garfield Ave
Ste 106
Libertyville, IL 60048
Phone (847) 325-1853

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1437329455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 GARFIELD AVE STE 106",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483100",
            "telephone_number": "847-367-7470",
            "fax_number": "847-367-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 GARFIELD AVE STE 106",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483100",
            "telephone_number": "847-367-7470",
            "fax_number": "847-367-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL D. POLLOCK, M.D. S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "POLLOCK",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-367-7470",
        "authorized_official_credential": "M.D., S.C."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036044374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.