Neurology Diagnostics Group, PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

NEUROLOGY DIAGNOSTICS GROUP, PLLC

Practice address

1355 Remington Rd Ste W
Schaumburg, IL 60173-4818

Phone

(866) 374-7648

Fax

(262) 754-0897

NPI assigned

Aug 13, 2024

Last updated

Aug 13, 2024By 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

Christopher Blank

Title

Contracting & Credentialing Manager

Phone

(262) 875-6575

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 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.

• Pradeep Modur, M.D.

  • Neurology Physician
  • Austin, TX
  • NPI 1346248515

  IL

  Medicare reassignment

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1952132540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 W MORELAND BLVD",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531882433",
            "telephone_number": "866-374-7648",
            "fax_number": "262-754-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 REMINGTON RD STE W",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734818",
            "telephone_number": "866-374-7648",
            "fax_number": "262-754-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY DIAGNOSTICS GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "BLANK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CONTRACTING & CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "262-875-6575"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Nettnin, RBT
• Neuroaffirmative Perspectives, PLLC
• Neurodiagnostic Associates of Illinois, LTD
• Neurology & Sleep Clinics of Chicago S.C.
• Neurology & Sleep Clinics of Chicago S.C.
• Neurotech, LLC
• New Hope Therapeutic Solutions, PLLC
• New Leaf Counseling and Wellness, LLC
• Nexneuro
• William Ngu, D.O.

• Neurology Physician in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Neurology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.