Organization Active NPI

Consultants in Neurology, LTD

  • Neurology Physician
  • Northbrook, IL
National Provider Identifier
1831183920
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
CONSULTANTS IN NEUROLOGY, LTD
Practice address
1535 Lake Cook Rd Ste 601
Northbrook, IL 60062-1455
Phone
(847) 509-0270
Fax
(847) 509-0273
NPI assigned
Sep 6, 2005
Last updated
Feb 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Daniel R Wynn, MDNPI 1710971700
Title
Director
Phone
(847) 744-1545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

1535 Lake Cook Rd Ste 601
Northbrook, IL 60062-1455

Mailing address

1535 Lake Cook Rd Ste 601
Northbrook, IL 60062-1455
Phone (847) 509-0270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150504002011 IL Part B Supplier - Clinic/Group Practice 8426123712 Receives reassigned benefits from 2 practitioners
Practice locations: Northbrook, IL

National Provider Directory

National Provider Directory

Locations

800 Austin St
Ste 204
Evanston, IL 60202
Phone (312) 869-5735

800 Austin St
Ste 404
Evanston, IL 60202
Phone (847) 251-1800

3545 Lake Ave
Wilmette, IL 60091
Phone (847) 251-1800

3545 Lake Ave
Ste 100
Wilmette, IL 60091
Phone (847) 251-1800

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1831183920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 LAKE COOK RD STE 601",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621455",
            "telephone_number": "847-509-0270",
            "fax_number": "847-509-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 LAKE COOK RD STE 601",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621455",
            "telephone_number": "847-509-0270",
            "fax_number": "847-509-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSULTANTS IN NEUROLOGY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-06",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "WYNN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-744-1545",
        "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": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.