Organization Active NPI

DRS Jurcik & Hantos SC

  • Neurology Physician
  • Arlington Heights, IL
National Provider Identifier
1871529057
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
042006099 Issued in IL
Legal business name
DRS JURCIK & HANTOS SC
Practice address
1604 N Arlington Heights Rd
Arlington Heights, IL 60004-3908
Phone
(847) 541-4010
Fax
(847) 541-0159
NPI assigned
Jun 23, 2006
Last updated
Jun 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Livia Erika HantosNPI 1235187063
Title
MD
Phone
(847) 541-4010

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 042006099 IL Primary

Addresses

Primary practice location

1604 N Arlington Heights Rd
Arlington Heights, IL 60004-3908

Mailing address

1604 N Arlington Heights Rd
Arlington Heights, IL 60004-3908
Phone (847) 541-4010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060828000300 IL Part B Supplier - Clinic/Group Practice 9436153897 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington Heights, IL

National Provider Directory

National Provider Directory

Locations

1604 N Arlington Heights Rd
Arlington Heights, IL 60004
Phone (847) 541-4010

1604 N Arlington Heights Rd
#R
Arlington Heights, IL 60004
Phone (847) 541-4010

125 E Lake Cook Rd
Ste 208
Buffalo Grove, IL 60089
Phone (847) 541-4010

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1871529057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 N ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600043908",
            "telephone_number": "847-541-4010",
            "fax_number": "847-541-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 N ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600043908",
            "telephone_number": "847-541-4010",
            "fax_number": "847-541-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS JURCIK & HANTOS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "HANTOS",
        "authorized_official_first_name": "LIVIA",
        "authorized_official_middle_name": "ERIKA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "847-541-4010"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "042006099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.