Surgical Neurology Assoc LTD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

42002512 Issued in IL

Legal business name

SURGICAL NEUROLOGY ASSOC LTD

Practice address

880 W Central Rd
Suite 6100
Arlington Heights, IL 60005-2355

Phone

(847) 398-6464

Fax

(847) 398-7961

NPI assigned

Oct 24, 2006

Last updated

Aug 14, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard W Broderick, M.D.

Title

President

Phone

(847) 398-6464

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Silvia Yung, PA

  • Physician Assistant
  • Elgin, IL
  • NPI 1700839651
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376438400000",
    "number": "1922182500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 W CENTRAL RD",
            "address_2": "SUITE 6100",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052355",
            "telephone_number": "847-398-6464",
            "fax_number": "847-398-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 W CENTRAL RD",
            "address_2": "SUITE 6100",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052355",
            "telephone_number": "847-398-6464",
            "fax_number": "847-398-7961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL NEUROLOGY ASSOC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2013-08-14",
        "status": "A",
        "authorized_official_last_name": "BRODERICK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-398-6464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "42002512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL",
            "identifier": "1615968",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Allen Summers, M.D.
• Corey E Sumner, CRNA
• Patricia K Sun, M.D.
• Jelena Sundaralingam, FNP-BC
• Sunnyside Therapy LLC
• Anna Maria Surmaczynski, DDS
• Susan Close, LCPC, LMHC Psychotherapy & Wellness, LLC
• Susanne K Woloson MD PHD SC
• Frank S Sutherland, DDS
• Bozena Sutkowski, D,M,D

• Neurological Surgery Physician in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Neurological Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.