Organization Active NPI

North Suburban Neurosurgery PC

  • Neurological Surgery Physician
  • Skokie, IL
National Provider Identifier
1932191939
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
NORTH SUBURBAN NEUROSURGERY PC
Practice address
9700 Kenton Ave
K401
Skokie, IL 60076-1259
Phone
(847) 674-9394
Fax
(847) 674-9791
NPI assigned
Aug 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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

Authorized official

Name
Mrs. Leila D Dushane
Title
Practice Manager
Phone
(847) 674-9394

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

9700 Kenton Ave
K401
Skokie, IL 60076-1259

Mailing address

9700 Kenton Ave
K401
Skokie, IL 60076-1259
Phone (847) 674-9394

National Provider Directory

National Provider Directory

Locations

800 Austin St
Ste 466
Evanston, IL 60202
Phone (847) 328-4451

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1932191939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 KENTON AVE",
            "address_2": "K401",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761259",
            "telephone_number": "847-674-9394",
            "fax_number": "847-674-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 KENTON AVE",
            "address_2": "K401",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761259",
            "telephone_number": "847-674-9394",
            "fax_number": "847-674-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SUBURBAN NEUROSURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "DUSHANE",
        "authorized_official_first_name": "LEILA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "847-674-9394",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; 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.