Organization Active NPI

Stereotactic Radiosurgery Institute SC

  • Neurological Surgery Physician
  • Gurnee, IL
National Provider Identifier
1891011326
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
036066061 Issued in IL
Legal business name
STEREOTACTIC RADIOSURGERY INSTITUTE SC
Practice address
95 N Greenleaf St
Gurnee, IL 60031-3309
Phone
(847) 249-3090
Fax
(224) 365-4100
NPI assigned
Apr 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Authorized official

Name
Dr. Tomasz K Helenowski, MD
Title
President
Phone
(847) 249-3090

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X 036066061 IL Primary
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X 036066061 IL

Addresses

Primary practice location

95 N Greenleaf St
Gurnee, IL 60031-3309

Mailing address

365 Bateman Rd
Barrington, IL 60010-7616
Phone (847) 249-3090

Other identifiers 3

IdentifierTypeStateIssuer
1578554911OtherILPARVATHY KURUP, MD - NPI
1275612178OtherILTOMASZ HELENOWSKI, MD - NPI
1730160946OtherILYASHBIR MEHTA, MD - NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1891011326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 BATEMAN RD",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600107616",
            "telephone_number": "847-249-3090",
            "fax_number": "224-365-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 N GREENLEAF ST",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313309",
            "telephone_number": "847-249-3090",
            "fax_number": "224-365-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEREOTACTIC RADIOSURGERY INSTITUTE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-08",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "HELENOWSKI",
        "authorized_official_first_name": "TOMASZ",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-249-3090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036066061",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "IL",
            "license": "036066061",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARVATHY KURUP, MD - NPI",
            "identifier": "1578554911",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TOMASZ HELENOWSKI, MD - NPI",
            "identifier": "1275612178",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "YASHBIR MEHTA, MD - NPI",
            "identifier": "1730160946",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.