NPIMap

Organization Active NPI

Associated Neurology, S.C.

  • Specialist
  • Libertyville, IL
National Provider Identifier
1598897795
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ASSOCIATED NEUROLOGY, S.C.
Practice address
1900 Hollister Dr
Suite 250
Libertyville, IL 60048-5233
Phone
(847) 549-0055
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Sherry Friedle
Title
Office Manager
Phone
(847) 549-0055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X IL Primary

Addresses

Primary practice location

1900 Hollister Dr
Suite 250
Libertyville, IL 60048-5233

Mailing address

1900 Hollister Dr
Suite 250
Libertyville, IL 60048-5233
Phone (847) 549-0055

Other identifiers 1

IdentifierTypeStateIssuer
4919517OtherILBLUE CROSS

National Provider Directory

National Provider Directory

Locations

1900 Hollister Dr
Ste 250
Libertyville, IL 60048
Phone (847) 549-0055

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598897795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 HOLLISTER DR",
            "address_2": "SUITE 250",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485233",
            "telephone_number": "847-549-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 HOLLISTER DR",
            "address_2": "SUITE 250",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485233",
            "telephone_number": "847-549-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED NEUROLOGY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRIEDLE",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-549-0055",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4919517",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.