ADVANCED NEUROLOGICAL ASSOCIATES SC NPI 1003015074

Specialist in Northfield, IL

NPI 1003015074 Organization Specialist

About ADVANCED NEUROLOGICAL ASSOCIATES SC

Advanced Neurological Associates Sc is a provider established in Northfield, Illinois specializing in specialist. The NPI number of Advanced Neurological Associates Sc is 1003015074 and was assigned on July 2007. The practitioner's primary taxonomy code is 174400000X with license number 036-088382 (IL). The provider is registered as an organization and their NPI record was last updated 7 years ago. Advanced Neurological Associates Sc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Mary Angelopoulos D.o. (Owner)

NPI

1003015074

Provider NameADVANCED NEUROLOGICAL ASSOCIATES SC
Provider Location Address191 WAUKEGAN RD SUITE 120 NORTHFIELD, IL 60093
Provider Mailing Address191 WAUKEGAN RD SUITE 120 NORTHFIELD, IL 60093
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date07-11-2007
Last Update Date04-17-2015


Primary Taxonomy

Taxonomy Code174400000X
ClassificationSpecialist
TypeOther Service Providers
License No.036-088382
License StateIL
Taxonomy DescriptionAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Business Address

ADVANCED NEUROLOGICAL ASSOCIATES SC
191 WAUKEGAN RD
SUITE 120
NORTHFIELD, IL
ZIP 60093
Phone: (847) 716-1302
Fax: (847) 716-1312

Get Directions


Mailing Address

ADVANCED NEUROLOGICAL ASSOCIATES SC
191 WAUKEGAN RD
SUITE 120
NORTHFIELD, IL
ZIP 60093
Phone: (847) 716-1302
Fax: (847) 716-1312



Authorized Official

Authorized Official NameDR. MARY ANGELOPOULOS D.O.
Authorized Official TitleOWNER
Authorized Official Phone(847) 716-1302

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
036088382MEDICAID (05)IL
388950MEDICARE PIN (08)IL
G25051MEDICARE UPIN (02)IL
1630244OTHER (01)IL

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184730053 GEOFFREY SYDNEY SHAW MD
Individual
Psychiatry & Neurology (Psychiatry)191 WAUKEGAN RD STE 120
NORTHFIELD, IL 60093
(847) 716-1302
1184756587 RACHEL HANDLER PSY.D.
Individual
Psychologist (Clinical)191 WAUKEGAN RD SUITE 120
NORTHFIELD, IL 60093
(312) 545-6601
1083920573VISION REHABILITATION ASSOCIATES PC
Organization
Optometrist191 WAUKEGAN RD SUITE 115
NORTHFIELD, IL 60093
(847) 716-2340
1417069022 MARY ANGELOPOULOS D.O.
Individual
Psychiatry & Neurology (Neurology)191 WAUKEGAN RD SUITE 120
NORTHFIELD, IL 60093
(847) 716-1302
1609911866PIEROTH CONSULTING GROUP, INC.
Organization
Clinical Neuropsychologist191 WAUKEGAN RD
NORTHFIELD, IL 60093
(847) 716-1302
1023060969DR. MICHAEL GERARD ZOST O.D.
Individual
Optometrist191 WAUKEGAN RD SUITE 115
NORTHFIELD, IL 60093
(847) 716-2340

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.