Advanced Neuro Diagnostics LTD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

3639168 Issued in IL

Legal business name

ADVANCED NEURO DIAGNOSTICS LTD

Practice address

350 E Dundee Rd
Suite 315
Wheeling, IL 60090-3192

Phone

(224) 676-0547

Fax

(224) 676-0564

NPI assigned

Jul 19, 2006

Last updated

Jan 22, 2014By 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. Phillip S Epstein, MD

Title

Owner.President

Phone

(224) 676-0547

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1740209972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E DUNDEE RD",
            "address_2": "SUITE 315",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600903192",
            "telephone_number": "224-676-0547",
            "fax_number": "224-676-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E DUNDEE RD",
            "address_2": "SUITE 315",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600903192",
            "telephone_number": "224-676-0547",
            "fax_number": "224-676-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED NEURO DIAGNOSTICS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "EPSTEIN",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER.PRESIDENT",
        "authorized_official_telephone_number": "224-676-0547",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "3639168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.