Midwest Neurology, LTD.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

036-074755 Issued in IL

Legal business name

MIDWEST NEUROLOGY, LTD.

Practice address

181 S Lincolnway
North Aurora, IL 60542-1609

Phone

(630) 906-9470

Fax

(630) 906-9467

NPI assigned

Jan 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Andrew D Ta, D.O.

Title

President

Phone

(630) 906-9470

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica A Barr, APRN,BC

  • Family Nurse Practitioner
  • Rockford, IL
  • NPI 1124181664
  NPD (past)

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1811048036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 S LINCOLNWAY",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605421609",
            "telephone_number": "630-906-9470",
            "fax_number": "630-906-9467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 S LINCOLNWAY",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605421609",
            "telephone_number": "630-906-9470",
            "fax_number": "630-906-9467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST NEUROLOGY, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "TA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-906-9470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036-074755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "4522088",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric D McKeever
• Mdy Health S.C.
• Susan Lucille Mellema, LCSW
• Sarina Petra Mercado, CCC-SLP
• Margaret Meyers, M.S.
• Laura Miller
• Chloe Rose Milot
• Minnihan Surgical Assistants
• Michael James Minnihan, CSFA
• Tara R Moen, M.A. SLP

• Neurology Physician in North Aurora, IL
• Providers in North Aurora, IL by specialty
• Neurology Physician in Illinois

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