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GREAT LAKES PEDIATRIC NEUROLOGY
NPI 1417017476
Clinic/Center - Medical Specialty in Dearborn, MI

Active since December 11, 2006
1331 MONROE ST, DEARBORN, MI 48124(248) 851-1700(248) 851-3830 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Great Lakes Pediatric Neurology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT LAKES PEDIATRIC NEUROLOGY (NPI 1417017476) is a healthcare organization registered as a medical specialty in Dearborn, Michigan and active in the NPI registry since December 2006. The organization lists Yasser Awaad, President, as its authorized official.

NPPES Registry Identity

NPI1417017476
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameGREAT LAKES PEDIATRIC NEUROLOGY
Location Address1331 MONROE STDearborn, MI 48124-2888
Mailing Address1331 Monroe StDearborn, MI 48124-2888 · (248) 851-1700 · Fax (248) 851-3830
Phone(248) 851-1700
Fax(248) 851-3830
Organization SubpartNo
Authorized OfficialYasser AwaadPresident · (248) 851-1700
Enumeration DateDecember 11, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1417017476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
1331 MONROE ST, Dearborn, MI 48124
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SHEILA WHELAN ANP-BC
Nurse Practitioner (Adult Health)
1331 MONROE ST, SUITE 100
DEARBORN, MI 48124
Wayne County (313) 914-5581
YASSER AWAAD MD
Pediatrics (Neurodevelopmental Disabilities)
1331 MONROE ST
DEARBORN, MI 48124
Wayne County (313) 724-4810
DR. AYMAN AKKAD MD
Pediatrics (Pediatric Endocrinology)
1331 MONROE ST
DEARBORN, MI 48124
Wayne County (313) 914-5591

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great Lakes Pediatric Neurology's NPI number?

The NPI number for Great Lakes Pediatric Neurology is 1417017476. It was assigned to this organization in the NPPES registry on December 11, 2006.

Where is Great Lakes Pediatric Neurology located?

Great Lakes Pediatric Neurology is located at 1331 Monroe St, Dearborn, MI 48124. The listed phone number is (248) 851-1700.

What is Great Lakes Pediatric Neurology's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Great Lakes Pediatric Neurology was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.