Chicago Neurology Group SC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036060438 Issued in IL

Legal business name

CHICAGO NEUROLOGY GROUP SC

Practice address

6321 N Avondale
Suite 106
Chicago, IL 60631

Phone

(773) 975-6773

NPI assigned

Jun 4, 2006

Last updated

Jul 6, 2011By 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

David R Robbins, CPA

Title

Cpa

Phone

(847) 852-1428

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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.

• Alfred Lamee Allen, MD

  • Internal Medicine Physician
  • Hinsdale, IL
  • NPI 1144538430
  NPD (past)
• Ralph V Cabin, M.D.

  • Neurology Physician
  • Chicago, IL
  • NPI 1558309922
  NPD (past)
• Lauren Sulochana Mohan

  • Dermatology Physician
  • Glenview, IL
  • NPI 1457974123
  NPD (past)

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1801835202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6321 N AVONDALE",
            "address_2": "SUITE 106",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60631",
            "telephone_number": "773-975-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6321 N AVONDALE",
            "address_2": "SUITE 106",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60631",
            "telephone_number": "773-975-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO NEUROLOGY GROUP SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CPA",
        "authorized_official_telephone_number": "847-852-1428",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036060438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "01633088",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6063101",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chicago Neck & Back Institute LTD. PC
• Chicago Neighborhood Therapy Inc.
• Chicago Nephrology Associates, LLC
• Chicago Nerd Therapy, PLLC (Keystone Mental Health)
• Chicago Neurobehavioral Associates LLC
• Chicago Neuropsychological Services
• Chicago Neuropsychological Services
• Chicago Neurorehabilitation Center LLC
• Chicago North Medical Partnership
• Chicago Northside Hospital MRI (Chicago Northside MRI Center)

• Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.