Active NPI
Diagnostic Neurological Associates
- Specialist
- Niles, IL
National Provider Identifier
1912199852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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 DirectoryLocations
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.