Kazkaz Southwest Neurology S.C.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

KAZKAZ SOUTHWEST NEUROLOGY S.C.

Practice address

1890 Silver Cross Blvd Ste 320
New Lenox, IL 60451-9610

Phone

(815) 722-8106

NPI assigned

Apr 25, 2019

Organization subpart

No

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

Authorized official

Name

Bassel Kazkaz, MDNPI 1336196054

Title

President

Phone

(608) 843-5332

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Interoperability endpoints

• Direct secure messaging: basselkazkaz@ksn.ezdocsdirect.com

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.

• Bassel Kazkaz, MD

  • Neurology Physician
  • New Lenox, IL
  • NPI 1336196054
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1972167906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 KRAML DRIVE",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "60527",
            "telephone_number": "608-843-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD STE 320",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519610",
            "telephone_number": "815-722-8106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "143 Kraml Drive",
            "address_purpose": "LOCATION",
            "city": "Burr Ridge",
            "state": "IL",
            "postal_code": "60527",
            "country_code": "US",
            "telephone_number": "608-843-5332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KAZKAZ SOUTHWEST NEUROLOGY S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-25",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "KAZKAZ",
        "authorized_official_first_name": "BASSEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-843-5332",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Kasper
• Catherine Katilius
• Komalpreet Kaur, DMD
• Mazen Kawji, M.D.
• Kelsey Kay
• Bassel Kazkaz, MD
• Darius A Keblinskas, M.D.
• Sarah Lowe Kelder, PSY.D.
• Jaimie Keller
• Jamie Kelly

• Neurology Physician in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Neurology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.