Nina Neyman, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036065477 Issued in IL

Practice address

157 N Seymour Ave
Mundelein, IL 60060-2304

Phone

(847) 566-0300

Fax

(847) 566-2818

NPI assigned

Apr 6, 2006

Last updated

Feb 22, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lake County Medical Group SC

  • Specialist
  • Mundelein, IL
  • NPI 1588666150
  Authorized official Same address or phone

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1942263512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 E BELVIDERE RD STE 202",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302076",
            "telephone_number": "847-566-0300",
            "fax_number": "847-566-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 N SEYMOUR AVE",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600602304",
            "telephone_number": "847-566-0300",
            "fax_number": "847-566-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEYMAN",
        "first_name": "NINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036065477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Navid Kia Ddsps
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• Jackson I Newberry III
• Inetta V Nikogosian, DN
• Joann Kendrick Nishimoto, PSY.D.
• Mary Nissen, OTR/L
• North Star Counseling Group, LLC
• Northern Illinois Eye Clinic LLC

• Internal Medicine Physician in Mundelein, IL
• Providers in Mundelein, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.