Active NPI
Gene O. Neri, M.D., S.C.
- Neurology Physician
- Hinsdale, IL
National Provider Identifier
1578872065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- GENE O. NERI, M.D., S.C.
- Practice address
- 40 S Clay St
Suite 220W
Hinsdale, IL 60521-3257 - Phone
- (630) 654-3636
- Fax
- (630) 654-3680
- NPI assigned
- Sep 30, 2010
- 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. Gene Omero Neri, M.D.
- Title
- Owner/Physican
- Phone
- (630) 654-3636
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
40 S Clay St
Suite 220W
Hinsdale, IL 60521-3257
Mailing address
40 S Clay St
Suite 220W
Hinsdale, IL 60521-3257
Phone (630) 654-3636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101104000696 | IL | Part B Supplier - Clinic/Group Practice | 1951595826 | Practice locations: Hinsdale, IL |
National Provider Directory
National Provider DirectoryLocations
40 S Clay St
Ste 220W
Hinsdale, IL 60521
Phone (630) 654-3636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285804800000",
"number": "1578872065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 S CLAY ST",
"address_2": "SUITE 220W",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605213257",
"telephone_number": "630-654-3636",
"fax_number": "630-654-3680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 S CLAY ST",
"address_2": "SUITE 220W",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605213257",
"telephone_number": "630-654-3636",
"fax_number": "630-654-3680"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENE O. NERI, M.D., S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-30",
"last_updated": "2010-09-30",
"status": "A",
"authorized_official_last_name": "NERI",
"authorized_official_first_name": "GENE",
"authorized_official_middle_name": "OMERO",
"authorized_official_title_or_position": "OWNER/PHYSICAN",
"authorized_official_telephone_number": "630-654-3636",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hinsdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.