Organization Active NPI

Neuro Oversight LLC

  • Neurological Surgery Physician
  • Homewood, IL
National Provider Identifier
1821498718
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
036.065969 Issued in IL
Legal business name
NEURO OVERSIGHT LLC
Practice address
2024 Hickory Rd
Ste 301
Homewood, IL 60430-2125
Phone
(708) 799-6900
Fax
(708) 799-6917
NPI assigned
Aug 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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

Authorized official

Name
Aleksandra Stobnicki, MD
Title
Provider
Phone
(708) 799-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X 036.065969 IL Primary

Addresses

Primary practice location

2024 Hickory Rd
Ste 301
Homewood, IL 60430-2125

Mailing address

2024 Hickory Rd
Ste 301
Homewood, IL 60430-2125

National Provider Directory

National Provider Directory

Locations

255 E 90th Dr
#Y
Merrillville, IN 46410
Phone (219) 756-0400

123 S McKinley Ave
#Y
Rensselaer, IN 47978
Phone (219) 866-7222

123 S McKinley Ave
Ph
Rensselaer, IN 47978
Phone (219) 866-7222

Practitioners & affiliated clinicians

Practitioners 3

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": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1821498718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 HICKORY RD",
            "address_2": "STE 301",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 HICKORY RD",
            "address_2": "STE 301",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302125",
            "telephone_number": "708-799-6900",
            "fax_number": "708-799-6917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO OVERSIGHT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "STOBNICKI",
        "authorized_official_first_name": "ALEKSANDRA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "708-799-6900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036.065969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.