Organization Active NPI

West Suburban Neurosurgical Associates, S.C.

  • Specialist
  • Westmont, IL
National Provider Identifier
1992770903
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D 4922-407-9 Issued in IL
Legal business name
WEST SUBURBAN NEUROSURGICAL ASSOCIATES, S.C.
Practice address
700 E Ogden Ave Ste 106
Westmont, IL 60559-1283
Phone
(630) 655-1229
Fax
(630) 655-0185
NPI assigned
Feb 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Authorized official

Name
Miss Cauldeen M Calmeyn
Title
Administrator
Phone
(630) 655-1229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X D 4922-407-9 IL Primary

Addresses

Primary practice location

700 E Ogden Ave Ste 106
Westmont, IL 60559-1283

Mailing address

PO Box 433
Westmont, IL 60559-0433
Phone (630) 655-1229

Other identifiers 1

IdentifierTypeStateIssuer
16-15248OtherILBLUE SHIELD PROVIDER

National Provider Directory

National Provider Directory

Locations

20 E Ogden Ave
Hinsdale, IL 60521
Phone (630) 325-8730

Practitioners & affiliated clinicians

Practitioners 1

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": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1992770903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 433",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605590433",
            "telephone_number": "630-655-1229",
            "fax_number": "630-655-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E OGDEN AVE STE 106",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591283",
            "telephone_number": "630-655-1229",
            "fax_number": "630-655-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SUBURBAN NEUROSURGICAL ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "CALMEYN",
        "authorized_official_first_name": "CAULDEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "630-655-1229",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "D 4922-407-9",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER",
            "identifier": "16-15248",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westmont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.