First Chicago Neuroscience Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

02273608 Issued in IL

Legal business name

FIRST CHICAGO NEUROSCIENCE CLINIC

Practice address

2608 Patriot Blvd
102
Glenview, IL 60026-8024

Phone

(847) 729-3262

Fax

(847) 729-3261

NPI assigned

Oct 15, 2007

Organization subpart

No

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

Authorized official

Name

Teresa Jadwiga Poprawski, M.D.

Title

Owner

Phone

(630) 508-0373

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1497944508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 PATRIOT BLVD",
            "address_2": "102",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268024",
            "telephone_number": "847-729-3262",
            "fax_number": "847-729-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 PATRIOT BLVD",
            "address_2": "102",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268024",
            "telephone_number": "847-729-3262",
            "fax_number": "847-729-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHICAGO NEUROSCIENCE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "POPRAWSKI",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "JADWIGA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-508-0373",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "02273608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Ficho, M.D., PH.D.
• Darin Robert Fields
• Stacey P Filerman, PH.D.
• Joanna Marie Finegan, MOTR/L
• Kathryn Finley
• First Rehab Network
• Amanda Fischer, OT
• Louise Fischer, BSN,RNC,IBCLC
• Heather Lynn Fisher, OTR/L
• Helen Fisher, LCPC

• Clinic/Center in Glenview, IL
• Providers in Glenview, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.