NPIMap

Organization Active NPI

Nowak Neurology LLC

Doing business as Nowak Neurology

  • Neurology Physician
  • Naperville, IL
National Provider Identifier
1750030615
Registry record updated Dec 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NOWAK NEUROLOGY LLC
Doing business as
Nowak Neurology
Practice address
2272 95TH St Ste 120
Naperville, IL 60564-8944
Phone
(708) 665-2118
Fax
(708) 665-2035
NPI assigned
Mar 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2022

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

Authorized official

Name
Dr. Waldemar Nowak Jr., MDNPI 1619256534
Title
President
Phone
(708) 665-2118

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
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

2272 95TH St Ste 120
Naperville, IL 60564-8944

Mailing address

54 Orland Square Dr
Orland Park, IL 60462-3207
Phone (708) 665-2118

Other practice location 1

54 Orland Square Dr
Orland Park, IL 60462-3207
Phone (319) 594-5748

Other names 1

  • Nowak Neurology Doing business as

National Provider Directory

National Provider Directory

Locations

2272 95th St
Ste 120
Naperville, IL 60564
Phone (708) 665-2118

Practitioners & affiliated clinicians

Practitioners 1

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": "1647648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670112000000",
    "number": "1750030615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 ORLAND SQUARE DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623207",
            "telephone_number": "708-665-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2272 95TH ST STE 120",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648944",
            "telephone_number": "708-665-2118",
            "fax_number": "708-665-2035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "54 Orland Square Dr",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604623207",
            "country_code": "US",
            "telephone_number": "319-594-5748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOWAK NEUROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-19",
        "last_updated": "2022-12-04",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "NOWAK",
        "authorized_official_first_name": "WALDEMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-665-2118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nowak Neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.