Active NPI
Center for Brain and Nerve Disorders S.C.
- Neurology Physician
- Orland Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 036.115847
- Legal business name
- CENTER FOR BRAIN AND NERVE DISORDERS S.C.
- Practice address
- 10723 Winterset Dr
Orland Park, IL 60467-1106 - Phone
- (708) 675-7110
- Fax
- (708) 310-3430
- NPI assigned
- Aug 12, 2013
- Last updated
- Dec 23, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sreepathy Kannan, M.D.
- Title
- President
- Phone
- (630) 258-1499
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 036.115847 | IL | Primary |
Addresses
Primary practice location
10723 Winterset Dr
Orland Park, IL 60467-1106
Mailing address
8S323 Hampton Cir
Naperville, IL 60540-9322
Phone (708) 675-7110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
396 Remington Blvd
Ste 360
Bolingbrook, IL 60440
Phone (630) 789-9785
18327 Distinctive Dr
Orland Park, IL 60467
Phone (708) 675-7110
Practitioners & affiliated clinicians
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.
-
- Neurology Physician
- Orland Park, IL
- NPI 1295793529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376265600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1387756800000",
"number": "1508299611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8S323 HAMPTON CIR",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605409322",
"telephone_number": "708-675-7110",
"fax_number": "630-778-3971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10723 WINTERSET DR",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604671106",
"telephone_number": "708-675-7110",
"fax_number": "708-310-3430"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR BRAIN AND NERVE DISORDERS S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-12",
"last_updated": "2013-12-23",
"status": "A",
"authorized_official_last_name": "KANNAN",
"authorized_official_first_name": "SREEPATHY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-258-1499",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "036.115847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
- Michelle Catane, PT
- Katherine Lucia Catrone
- Geetha Cattamanchi, MD
- Umapathi Cattamanchi, MD
- Nancy Cavataio, COTA
- Center for Vein Restoration Il LLC
- Centers for Hand & Physical Rehabilitation, Inc. (Motion Hand & Physical Therapy)
- Central Healthcare, Inc.
- Central Rehab Physical Therapy, Inc.
- Century Audiology (Linda Bosack M S)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.