Neurotesting Group SC

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

License

038-007934 Issued in IL

Legal business name

NEUROTESTING GROUP SC

Practice address

1430 N Arlington Heights Rd
Arlington Heights, IL 60004-4830

Phone

(312) 804-8910

Fax

(630) 390-2222

NPI assigned

Mar 4, 2010

Last updated

Mar 3, 2020By 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

Dr. Drew S Kandilakis, D.C.NPI 1316971369

Title

Ceo

Phone

(312) 877-0035

Specialties & licenses 2

Addresses

Other names 1

• NeuroTesting Group SC Former legal business name

Locations

Practitioners 1

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.

• Drew S Kandilakis, D.C.

  • Chiropractor
  • Des Plaines, IL
  • NPI 1316971369
  Authorized official Same address or phone

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1457674541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600680085",
            "telephone_number": "312-804-8910",
            "fax_number": "630-390-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 N ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600044830",
            "telephone_number": "312-804-8910",
            "fax_number": "630-390-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROTESTING GROUP SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-04",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "KANDILAKIS",
        "authorized_official_first_name": "DREW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-877-0035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "IL",
            "license": "038-007934",
            "primary": true
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "IL",
            "license": "038-007934",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeuroTesting Group SC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "NeuroTesting Group SC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Gregory Newlin, LCSW
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• Electroneurodiagnostic Specialist/Technologist in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Electroneurodiagnostic Specialist/Technologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.