Community Neurologic Center SC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

203.000950 Issued in IL

Legal business name

COMMUNITY NEUROLOGIC CENTER SC

Practice address

2172 Blackberry Drive
Suite 202
Geneva, IL 60134-2577

Phone

(630) 208-7735

Fax

(630) 208-6956

NPI assigned

Jan 4, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Boris Lake

Title

Business Manager

Phone

(630) 208-7735

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Steven V Lekah, M.D.

  • Neurology Physician
  • Geneva, IL
  • NPI 1356441281
  NPD (past)

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1922283373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2172 BLACKBERRY DRIVE",
            "address_2": "SUITE 202",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342577",
            "telephone_number": "630-208-7735",
            "fax_number": "630-208-6956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2172 BLACKBERRY DRIVE",
            "address_2": "SUITE 202",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342577",
            "telephone_number": "630-208-7735",
            "fax_number": "630-208-6956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY NEUROLOGIC CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "LAKE",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "630-208-7735",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203.000950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036093008",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clear Path Counseling, PLLC
• Steven Coker, M.D.
• Carson Collins, RBT
• Nicole Collins
• Community Neurologic Center SC
• Conley and Associates LLC
• Tamara Connelly
• Kristin Conniff, PT, DPT, OCS
• Paula Conrin, M.D.
• Doug Conroy

• Durable Medical Equipment & Medical Supplies in Geneva, IL
• Providers in Geneva, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.