Organization Active NPI

Diagnostic Neurological Associates

  • Specialist
  • Niles, IL
National Provider Identifier
1912199852
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DIAGNOSTIC NEUROLOGICAL ASSOCIATES
Practice address
7437 N Harlem Ave
#105
Niles, IL 60714-3701
Phone
(847) 588-2930
Fax
(847) 588-3341
NPI assigned
Aug 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Susan K Miceli
Title
President
Phone
(847) 588-2930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X IL Primary

Addresses

Primary practice location

7437 N Harlem Ave
#105
Niles, IL 60714-3701

Mailing address

PO Box 481123
Niles, IL 60714-6123
Phone (847) 588-2930

National Provider Directory

National Provider Directory

Locations

7437 N Harlem Ave
#105
Niles, IL 60714
Phone (847) 588-2930

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1912199852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 481123",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607146123",
            "telephone_number": "847-588-2930",
            "fax_number": "847-588-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7437 N HARLEM AVE",
            "address_2": "#105",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143701",
            "telephone_number": "847-588-2930",
            "fax_number": "847-588-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC NEUROLOGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MICELI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-588-2930",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.