NPIMap

Organization Active NPI

Neurology Medical Group

  • Neurology Physician
  • Lake in the Hills, IL
National Provider Identifier
1801062377
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
036107107 Issued in IL
Legal business name
NEUROLOGY MEDICAL GROUP
Practice address
1011 Mason LN
Lake in the Hills, IL 60156-4460
Phone
(815) 337-2060
NPI assigned
May 5, 2008
Last updated
May 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Dr. Amarish Dave, D.O.
Title
Owner
Phone
(815) 337-2060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 036107107 IL Primary

Addresses

Primary practice location

1011 Mason LN
Lake in the Hills, IL 60156-4460

Mailing address

1011 Mason LN
Lake in the Hills, IL 60156-4460
Phone (815) 337-2060

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1801062377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 MASON LN",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601564460",
            "telephone_number": "815-337-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 MASON LN",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601564460",
            "telephone_number": "815-337-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "DAVE",
        "authorized_official_first_name": "AMARISH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-337-2060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036107107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake in the Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.