Active NPI
Neurology Consultants, S.C.
- Neurology Physician
- Hazel Crest, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- NEUROLOGY CONSULTANTS, S.C.
- Practice address
- 3330 W 177TH St
Suite 3C
Hazel Crest, IL 60429-2184 - Phone
- (708) 799-6799
- NPI assigned
- Aug 20, 2006
- Last updated
- Oct 31, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth Winston Holmes, M.D.
- Title
- President
- Phone
- (708) 799-6799
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | IL | Primary |
Addresses
Primary practice location
3330 W 177TH St
Suite 3C
Hazel Crest, IL 60429-2184
Mailing address
3330 W 177TH St
Suite 3C
Hazel Crest, IL 60429-2184
Phone (708) 799-6799
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
111 N Wabash Ave
Ste 911
Chicago, IL 60602
Phone (708) 799-6799
505 N Lake Shore Dr
Ste 203
Chicago, IL 60611
Phone (312) 528-9068
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Specialist
- Hazel Crest, IL
- NPI 1114982477
-
- Neurology Physician
- Hazel Crest, IL
- NPI 1972750743
-
- Neurology Physician
- Hazel Crest, IL
- NPI 1811144157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193788800000",
"number": "1730294943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3330 W 177TH ST",
"address_2": "SUITE 3C",
"city": "HAZEL CREST",
"state": "IL",
"postal_code": "604292184",
"telephone_number": "708-799-6799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 W 177TH ST",
"address_2": "SUITE 3C",
"city": "HAZEL CREST",
"state": "IL",
"postal_code": "604292184",
"telephone_number": "708-799-6799"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROLOGY CONSULTANTS, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-20",
"last_updated": "2007-10-31",
"status": "A",
"authorized_official_last_name": "HOLMES",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "WINSTON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-799-6799",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hazel Crest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.