Center for Neurological Disorders S,C

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

036097660 Issued in IL

Legal business name

CENTER FOR NEUROLOGICAL DISORDERS S,C

Practice address

5600 W Addison St
Suite 406
Chicago, IL 60634

Phone

(773) 205-9800

Fax

(773) 205-9801

NPI assigned

Aug 14, 2006

Last updated

Jun 5, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Prasad Chappidi, M.D.NPI 1013032499

Title

President

Phone

(773) 205-9800

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 5

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.

• Prasad Chappidi, M.D

  • Neurology Physician
  • Chicago, IL
  • NPI 1013032499
  Medicare reassignment NPD Authorized official
• Nicholas S Papanos, M.D.

  • Internal Medicine Physician
  • Park Ridge, IL
  • NPI 1134110448
  NPD
• Ehab M Shams, M.D.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1568453876
  NPD
• Ashly Mathew Thomas

  • Gerontology Nurse Practitioner
  • Chicago, IL
  • NPI 1982216909
  NPD
• Shilpa Dhruva Tilwalli, M.D.

  • Neurology Physician
  • Santa Barbara, CA
  • NPI 1639339641
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528156800000",
    "number": "1669485777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 320",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600250320",
            "telephone_number": "847-400-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 W ADDISON ST",
            "address_2": "SUITE 406",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60634",
            "telephone_number": "773-205-9800",
            "fax_number": "773-205-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR NEUROLOGICAL DISORDERS S,C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2018-06-05",
        "status": "A",
        "authorized_official_last_name": "CHAPPIDI",
        "authorized_official_first_name": "PRASAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-205-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036097660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036097660",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Center for Law and Social Work
• Center for Life Balance
• Center for Medical & Rehabilitation, LLC
• Center for Medical Services LLC
• Center for Modern Relationships PLLC
• Center for Neuropsychological Assessment, PLLC
• Center for Orthopedic and Rehabilitation Excellence LLC
• Center for Personal Development
• Center for Personal Wellness, LLC
• Center for Psychological Well Being and Empowerment

• Neurology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Neurology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.

Verify at the official NPI Registry.