Active NPI
Neurology Centers of Illinois SC
- Neurology Physician
- Niles, IL
National Provider Identifier
1558714352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 036133912
- Legal business name
- NEUROLOGY CENTERS OF ILLINOIS SC
- Practice address
- 8269 W Golf Rd
Niles, IL 60714-1156 - Phone
- (847) 299-7000
- NPI assigned
- Jul 15, 2016
- Last updated
- Jul 15, 2016
- 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
- Peter Slavin, DC
- Title
- President
- Phone
- (847) 299-7000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 036133912 | IL | Primary |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 036133912 | IL |
Addresses
Primary practice location
8269 W Golf Rd
Niles, IL 60714-1156
Mailing address
8269 W Golf Rd
Niles, IL 60714-1156
Phone (847) 299-7000
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Chiropractor
- Niles, IL
- NPI 1659395994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468540800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1468540800000",
"number": "1558714352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8269 W GOLF RD",
"city": "NILES",
"state": "IL",
"postal_code": "607141156",
"telephone_number": "847-299-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8269 W GOLF RD",
"city": "NILES",
"state": "IL",
"postal_code": "607141156",
"telephone_number": "847-299-7000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROLOGY CENTERS OF ILLINOIS SC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-15",
"last_updated": "2016-07-15",
"status": "A",
"authorized_official_last_name": "SLAVIN",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-299-7000",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "036133912",
"primary": true
},
{
"code": "2084N0402X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "IL",
"license": "036133912",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.