Igor Rechitsky, MD Neurologist LTD.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

036086893 Issued in IL

Legal business name

IGOR RECHITSKY, MD NEUROLOGIST LTD.

Practice address

9000 Waukegan Rd
Suite 130
Morton Grove, IL 60053-2127

Phone

(847) 583-0184

Fax

(847) 470-8753

NPI assigned

Oct 21, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Igor Rechitsky, M.D.NPI 1528014065

Title

President

Phone

(847) 583-0184

Specialties & licenses 1

Addresses

Other names 1

• Clinical Neurology and Neurodiagnostic Center Other name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

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

• Igor Rechitsky, M.D.

  • Neurology Physician
  • Morton Grove, IL
  • NPI 1528014065
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256083200000",
    "number": "1912233263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2547 CAMPDEN LN",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600628108",
            "telephone_number": "847-337-7850",
            "fax_number": "847-205-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 WAUKEGAN RD",
            "address_2": "SUITE 130",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532127",
            "telephone_number": "847-583-0184",
            "fax_number": "847-470-8753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGOR RECHITSKY, MD NEUROLOGIST LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-21",
        "last_updated": "2009-10-21",
        "status": "A",
        "authorized_official_last_name": "RECHITSKY",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-583-0184",
        "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": "036086893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinical Neurology and Neurodiagnostic Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Neurology Physician in Morton Grove, IL
• Providers in Morton Grove, IL by specialty
• Neurology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; 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.