CNS Neurological Surgery SC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

CNS NEUROLOGICAL SURGERY SC

Practice address

3825 Highland Ave
Tower 1, Suite 5M
Downers Grove, IL 60515-1552

Phone

(630) 725-9890

Fax

(630) 725-0988

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Stavros Nicholas Maltezos, M.D.NPI 1902987076

Title

President

Phone

(630) 725-9890

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

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

• Stavros Nicholas Maltezos, M.D.

  • Neurological Surgery Physician
  • Downers Grove, IL
  • NPI 1902987076
  NPD (past) Authorized official
• Kevin M Jackson, MD

  • Neurological Surgery Physician
  • Naperville, IL
  • NPI 1821103581
  NPD (past)
• Monica Nirav Shah, PAC

  • Surgical Physician Assistant
  • Aurora, IL
  • NPI 1538206834
  NPD (past)
• James L Stone, MD

  • Neurological Surgery Physician
  • New York, NY
  • NPI 1659380343
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1679654743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PAYSPHERE CIR DEPT 9029",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60674",
            "telephone_number": "630-725-9890",
            "fax_number": "630-725-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 HIGHLAND AVE",
            "address_2": "TOWER 1, SUITE 5M",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151552",
            "telephone_number": "630-725-9890",
            "fax_number": "630-725-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNS NEUROLOGICAL SURGERY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MALTEZOS",
        "authorized_official_first_name": "STAVROS",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-725-9890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0001617783",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karenelise Clay, LCSW
• Laquita Clayton
• Dan Ramos Clemente, FNP-BC
• Sarah Kay Cline, L.C.S.W.
• Clinical & Health Psychologists LTD.
• Nicole Tatiana Cochrane, M.ED., LCPC
• Eric William Cockream, DPT
• Jeannine H Cockrill, P.T.
• Elizabeth Ann Colaiuta, MD
• Denise Colangelo, LCSW

• Neurological Surgery Physician in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Neurological Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.