Organization Active NPI

Illinois Institute of Neurology LTD

  • Neurology Physician
  • Alton, IL
National Provider Identifier
1467469007
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
ILLINOIS INSTITUTE OF NEUROLOGY LTD
Practice address
2 Memorial Dr
Suite 201
Alton, IL 62002-6723
Phone
(314) 355-3355
NPI assigned
Aug 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Authorized official

Name
Robert P Margolis, M.D.NPI 1497732812
Title
President
Phone
(314) 355-3355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

2 Memorial Dr
Suite 201
Alton, IL 62002-6723

Mailing address

11155 Dunn Rd
Suite 202N
Saint Louis, MO 63136-6150
Phone (314) 355-3355

National Provider Directory

National Provider Directory

Locations

11155 Dunn Rd
Ste 202N
Saint Louis, MO 63136
Phone (314) 355-3355

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1467469007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11155 DUNN RD",
            "address_2": "SUITE 202N",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366150",
            "telephone_number": "314-355-3355",
            "fax_number": "314-355-6584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEMORIAL DR",
            "address_2": "SUITE 201",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620026723",
            "telephone_number": "314-355-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS INSTITUTE OF NEUROLOGY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "MARGOLIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-355-3355",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.

Verify at the official NPI Registry.