Organization Active NPI

Neurology, Clinical Neurophysiology, and Sleep Medicine, P.C.

  • Specialist
  • Melrose Park, IL
National Provider Identifier
1730132663
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NEUROLOGY, CLINICAL NEUROPHYSIOLOGY, AND SLEEP MEDICINE, P.C.
Practice address
1440 W North Ave Ste 304
Melrose Park, IL 60160-1426
Phone
(708) 681-7879
Fax
(708) 681-7886
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Authorized official

Name
John R WilsonNPI 1548243678
Title
President
Phone
(708) 681-7879

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X IL Primary

Addresses

Primary practice location

1440 W North Ave Ste 304
Melrose Park, IL 60160-1426

Mailing address

1440 W North Ave Ste 304
Melrose Park, IL 60160-1426
Phone (708) 681-7879

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050428000537 IL Part B Supplier - Clinic/Group Practice 6002855145 Receives reassigned benefits from 2 practitioners
Practice locations: Melrose Park, IL

National Provider Directory

National Provider Directory

Locations

1440 W North Ave
Ste 304
Melrose Park, IL 60160
Phone (708) 343-6065

675 W North Ave
Ste 608
Melrose Park, IL 60160
Phone (708) 681-3000

1111 Superior St
Ste 201
Melrose Park, IL 60160
Phone (708) 345-2211

1S443 Summit Ave
Ste 203
Oakbrook Terrace, IL 60181
Phone (630) 678-9240

Practitioners & affiliated clinicians

Practitioners 5

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": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1730132663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 W NORTH AVE STE 304",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601426",
            "telephone_number": "708-681-7879",
            "fax_number": "708-681-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 W NORTH AVE STE 304",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601426",
            "telephone_number": "708-681-7879",
            "fax_number": "708-681-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY, CLINICAL NEUROPHYSIOLOGY, AND SLEEP MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-681-7879"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.