Organization Active NPI

Dupage Neurosurgery SC

  • Medical Specialty Clinic/Center
  • Wheaton, IL
National Provider Identifier
1487876686
Registry record updated Apr 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
DUPAGE NEUROSURGERY SC
Practice address
2001 N Gary Avenue
Suite 220
Wheaton, IL 60187
Phone
(630) 858-5400
Fax
(630) 858-4950
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2009

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

Authorized official

Name
Lisa Picha
Title
Office Manager
Phone
(630) 858-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

2001 N Gary Avenue
Suite 220
Wheaton, IL 60187

Mailing address

2001 N Gary Ave
Wheaton, IL 60187-3055
Phone (630) 858-5400

National Provider Directory

National Provider Directory

Locations

875 Roosevelt Rd
Glen Ellyn, IL 60137
Phone (630) 469-7858

2001 N Gary Ave
Ste 220
Wheaton, IL 60187
Phone (630) 858-5400

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239235200000",
    "number": "1487876686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N GARY AVE",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873055",
            "telephone_number": "630-858-5400",
            "fax_number": "630-858-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N GARY AVENUE",
            "address_2": "SUITE 220",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "60187",
            "telephone_number": "630-858-5400",
            "fax_number": "630-858-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPAGE NEUROSURGERY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2009-04-09",
        "status": "A",
        "authorized_official_last_name": "PICHA",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "630-858-5400"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; 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.