Organization Active NPI

Comprehensive Neurological Services, SC

Doing business as CNS

  • Neurology Physician
  • Winfield, IL
National Provider Identifier
1942312962
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
036-065960 Issued in IL
Legal business name
COMPREHENSIVE NEUROLOGICAL SERVICES, SC
Doing business as
CNS
Practice address
1N141 County Farm Rd
Suite 130
Winfield, IL 60190-2032
Phone
(630) 690-3333
Fax
(630) 690-3663
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Authorized official

Name
Dr. Fred Zachary Nour, MD
Title
President
Phone
(630) 690-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 036-065960 IL Primary

Addresses

Primary practice location

1N141 County Farm Rd
Suite 130
Winfield, IL 60190-2032

Mailing address

1N141 County Farm Rd
Suite 130
Winfield, IL 60190-2032
Phone (630) 690-3333

Other identifiers 2

IdentifierTypeStateIssuer
036-065960MedicaidIL
2201682OtherILBLUE CROSS NUMBER

Other names 1

  • CNS Doing business as

National Provider Directory

National Provider Directory

Locations

1N141 County Farm Rd
Ste 130
Winfield, IL 60190
Phone (630) 690-3333

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1942312962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1N141 COUNTY FARM RD",
            "address_2": "SUITE 130",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601902032",
            "telephone_number": "630-690-3333",
            "fax_number": "630-690-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1N141 COUNTY FARM RD",
            "address_2": "SUITE 130",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601902032",
            "telephone_number": "630-690-3333",
            "fax_number": "630-690-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE NEUROLOGICAL SERVICES, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "NOUR",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "ZACHARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-690-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036-065960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-065960",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NUMBER",
            "identifier": "2201682",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CNS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; 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.