Organization Active NPI

Northwestern Neurosurgical Associates., S.C.

  • Specialist
  • Chicago, IL
National Provider Identifier
1699985382
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NORTHWESTERN NEUROSURGICAL ASSOCIATES., S.C.
Practice address
7447 W Talcott Ave
Suite 340
Chicago, IL 60631-3745
Phone
(773) 594-0200
Fax
(773) 594-9083
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Authorized official

Name
Dr. Francisco A. Gutierrez, M.D,
Title
Neurosurgeon
Phone
(773) 594-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

7447 W Talcott Ave
Suite 340
Chicago, IL 60631-3745

Mailing address

75 Remittance Dr
Suite 1244
Chicago, IL 60675-1244
Phone (773) 594-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080130000316 IL Part B Supplier - Clinic/Group Practice 1153403175 Receives reassigned benefits from 4 practitioners
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

75 Remittance Dr
Dept 1244
Chicago, IL 60675
Phone (312) 726-6330

7435 W Talcott Ave
Ste 340
Chicago, IL 60631

7447 W Talcott Ave
Ste 340
Chicago, IL 60631
Phone (773) 594-0200

Practitioners & affiliated clinicians

Practitioners 4

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": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1699985382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 REMITTANCE DR",
            "address_2": "SUITE 1244",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606751244",
            "telephone_number": "773-594-0200",
            "fax_number": "773-594-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE",
            "address_2": "SUITE 340",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313745",
            "telephone_number": "773-594-0200",
            "fax_number": "773-594-9083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWESTERN NEUROSURGICAL ASSOCIATES., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "NEUROSURGEON",
        "authorized_official_telephone_number": "773-594-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.