Active NPI
University Neurosurgery at Lutheran
- Neurological Surgery Physician
- Des Plaines, IL
National Provider Identifier
1598890402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- UNIVERSITY NEUROSURGERY AT LUTHERAN
- Practice address
- 9301 Golf Rd
Suite 206
Des Plaines, IL 60016-1667 - Phone
- (312) 942-6644
- Fax
- (312) 942-2176
- NPI assigned
- Feb 22, 2007
- Organization subpart
- Yes
- Parent organization
- RUSH UNIVERSITY MEDICAL CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shaun T O'Leary, M.D.
- Title
- Authorized Official
- Phone
- (312) 942-6644
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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary |
Addresses
Primary practice location
9301 Golf Rd
Suite 206
Des Plaines, IL 60016-1667
Mailing address
9301 Golf Rd
Suite 206
Des Plaines, IL 60016-1667
Phone (312) 942-6644
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01637091 | Other | IL | BC GROUP |
National Provider Directory
National Provider Directory- Part of
- University Anesthesiologists SC
Locations
9301 Golf Rd
Ste 206
Des Plaines, IL 60016
Phone (847) 824-7740
1875 W Dempster St
Ste 405
Park Ridge, IL 60068
Phone (312) 372-6644
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurological Surgery Physician
- Pleasant Prairie, WI
- NPI 1841256377
-
- Nurse Practitioner
- Advance, NC
- NPI 1932225687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236729600000",
"number": "1598890402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9301 GOLF RD",
"address_2": "SUITE 206",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600161667",
"telephone_number": "312-942-6644",
"fax_number": "312-942-2176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9301 GOLF RD",
"address_2": "SUITE 206",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600161667",
"telephone_number": "312-942-6644",
"fax_number": "312-942-2176"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY NEUROSURGERY AT LUTHERAN",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RUSH UNIVERSITY MEDICAL CENTER",
"enumeration_date": "2007-02-22",
"last_updated": "2009-03-11",
"status": "A",
"authorized_official_last_name": "O'LEARY",
"authorized_official_first_name": "SHAUN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "312-942-6644",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC GROUP",
"identifier": "01637091",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Des Plaines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.