Active NPI
Stephen Mark Neuberger, MD
- Pediatric Cardiology Physician
- Park Ridge, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 036-096181
- Practice address
- 1675 Dempster St FL 3
Park Ridge, IL 60068-1110 - Phone
- (708) 684-5580
- Fax
- (708) 684-4068
- NPI assigned
- Aug 4, 2006
- Last updated
- Feb 22, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036096181 | IL | |
| Pediatric Cardiology Physician | 2080P0202X | 036-096181 | IL | Primary |
Addresses
Primary practice location
1675 Dempster St FL 3
Park Ridge, IL 60068-1110
Mailing address
28594 Network PL
Chicago, IL 60673-1285
Phone (630) 859-6800
Other practice location 1
1775 Dempster Street
2 South
Park Ridge, IL 60068
Phone (847) 723-6465
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sneuberger206065@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-096181 | IL | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Lutheran General Hospital | Current | Accepting new patients | |
| Advocate Health & Hospitals Corporation | Current | Accepting new patients | |
| Midwest Pediatric Cardiology, P.C. | Pediatric Cardiology | Past | Accepting new patients |
Locations
2357 Sequoia Dr
Aurora, IL 60506
Phone (630) 859-6700
595 William R Latham SR Dr
Bourbonnais, IL 60914
Phone (815) 932-8944
135 N Arlington Heights Rd
Buffalo Grove, IL 60089
Phone (847) 215-8866
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
28594 Network Pl
Chicago, IL 60673
29373 Network Pl
Chicago, IL 60673
2800 W 95th St
Evergreen Pk, IL 60805
Phone (708) 229-5104
1675 W Dempster St
Fl 3
Park Ridge, IL 60068
Phone (847) 318-9330
1775 W Dempster St
#2S
Park Ridge, IL 60068
Phone (847) 723-5313
1875 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-8640
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Advocate Medical Group (Dreyer)
- Multi-Specialty Clinic/Center
- Aurora, IL
- NPI 1003542184
-
dba Advocate Medical Group
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
dba Advocate Christ Medical Group
- Medical Specialty Clinic/Center
- Oak Lawn, IL
- NPI 1912936014
-
dba Advocate Children's Hospital
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Cardiovascular Disease Physician
- Park Ridge, IL
- NPI 1801809306
-
- Pediatric Cardiology Physician
- Oak Lawn, IL
- NPI 1962483669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677024000000",
"number": "1447268362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28594 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731285",
"telephone_number": "630-859-6800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 DEMPSTER ST FL 3",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681110",
"telephone_number": "708-684-5580",
"fax_number": "708-684-4068"
}
],
"practiceLocations": [
{
"address_1": "1775 Dempster Street",
"address_2": "2 South",
"address_purpose": "LOCATION",
"city": "Park Ridge",
"state": "IL",
"postal_code": "60068",
"country_code": "US",
"telephone_number": "847-723-6465",
"fax_number": "847-723-2251",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEUBERGER",
"first_name": "STEPHEN",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036096181",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "IL",
"license": "036-096181",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sneuberger206065@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1675 Dempster St Fl 3",
"city": "Park Ridge",
"state": "IL",
"country_code": "US",
"postal_code": "600681110",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "1675 Dempster St Fl 3",
"city": "Park Ridge",
"state": "IL",
"country_code": "US",
"postal_code": "600681110",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.