Micro Neuro Spine SC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

MICRO NEURO SPINE SC

Practice address

1530 S State St Ste C0003
Chicago, IL 60605-2964

Phone

(847) 232-3800

Fax

(773) 409-5710

NPI assigned

Oct 3, 2019

Organization subpart

No

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

Authorized official

Name

Andy Barriga

Title

Agent

Phone

(847) 232-3800

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Robert Keith Erickson, MD

  • Neurological Surgery Physician
  • Chicago, IL
  • NPI 1225048804
  NPD

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1487295143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 N NOBLE ST UNIT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606425303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 S STATE ST STE C0003",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052964",
            "telephone_number": "847-232-3800",
            "fax_number": "773-409-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICRO NEURO SPINE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "BARRIGA",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "847-232-3800"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Violetta Mickiewicz, PA-C
• Marcia Mickle, NP
• Sophia Mickus
• Marla Micor, LCSW
• Micro Neuro Spine SC
• Taylor Elizabeth Micua, MD
• Mid America Anesthesia LLC
• Mid America Care Center, LLC
• Mid North Gastroenterologists LTD
• Mid North Gastroenterologists, LTD.

• Neurological Surgery Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Neurological Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.