Advanced Neurology, LTD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

036094324 Issued in IL

Legal business name

ADVANCED NEUROLOGY, LTD

Practice address

3295 N Arlington Heights Rd Ste 102
Arlington HTS, IL 60004-1588

Phone

(847) 650-9509

NPI assigned

Jul 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Galina Simkin, M.D.NPI 1487655833

Title

President

Phone

(847) 650-9509

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Galina Simkin, M.D.

  • Neurology Physician
  • Arlington Heights, IL
  • NPI 1487655833
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1902005010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 ESTATE CT",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621100",
            "telephone_number": "847-650-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 N ARLINGTON HEIGHTS RD STE 102",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600041588",
            "telephone_number": "847-650-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED NEUROLOGY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "SIMKIN",
        "authorized_official_first_name": "GALINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-650-9509",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036094324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036094324",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL",
            "identifier": "01623065",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Arlington HTS, IL
• Providers in Arlington HTS, IL by specialty
• Neurology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.