Glencor Neuromonitoring LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

GLENCOR NEUROMONITORING LLC

Practice address

611 S Milwaukee Ave Ste 8
Libertyville, IL 60048-3256

Phone

(847) 989-0606

NPI assigned

Sep 6, 2019

Last updated

Sep 6, 2019By 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

Juna Alzate, MD

Title

Managing Member

Phone

(646) 483-3051

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Juan Alzate, MD

  • Neurological Surgery Physician
  • Libertyville, IL
  • NPI 1922272830
  NPD

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1811546484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S MILWAUKEE AVE STE 8",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S MILWAUKEE AVE STE 8",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483256",
            "telephone_number": "847-989-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENCOR NEUROMONITORING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "ALZATE",
        "authorized_official_first_name": "JUNA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "646-483-3051",
        "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": []
}

• Bret B Gilsdorf, D.D.S.
• Devon Collins Gimbel, MD
• Carly Jean Girard, AU.D.
• Christopher Bernard Girardo
• Mina Girbes, MD
• Claudia Glenn, PT
• Global Medical Imaging, SC
• Aleksandra Glodek, DMD
• Glynn Chiropractic, Inc.
• Ryan Alexander Glynn, D.C.

• Neurology Physician in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Neurology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.