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COMMUNITY NEUROLOGIC CENTER SC
NPI 1487852679
Clinic/Center in Geneva, IL

Active since July 10, 2007
2172 BLACKBERRY DR, SUITE 202, GENEVA, IL 60134(630) 208-7735(630) 208-6956 Get Directions Write a Review

NPPES record last updated: September 11, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Community Neurologic Center Sc NPPES

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

COMMUNITY NEUROLOGIC CENTER SC (NPI 1487852679) is a healthcare organization registered as a clinic/center in Geneva, Illinois and active in the NPI registry since July 2007. The organization lists Boris Lake, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1487852679
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCOMMUNITY NEUROLOGIC CENTER SC
Location Address2172 BLACKBERRY DR, SUITE 202Geneva, IL 60134-1073
Mailing Address2172 Blackberry Dr, Suite 202Geneva, IL 60134-1073 · (630) 208-7735 · Fax (630) 208-6956
Phone(630) 208-7735
Fax(630) 208-6956
Organization SubpartNo
Authorized OfficialBoris LakeBusiness Manager · (630) 208-7735
Enumeration DateJuly 10, 2007
Last NPPES UpdateSeptember 11, 2012
✔ NPI 1487852679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in IL · 036-093008
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2172 BLACKBERRY DR, Geneva, IL 60134
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Other Identifiers 3

Medicaid036093008IL
Medicare PIN211306IL
Other036-093008IL · Medical License

Other Providers at the Same Location NPPES 13

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

CAMILLE HOFFMAN LCSW
Social Worker (Clinical)
2172 BLACKBERRY DR
GENEVA, IL 60134
Kane County (630) 797-9872
KANE PODIATRY ASSOCIATES, S.C.
Podiatrist (Foot & Ankle Surgery)
2172 BLACKBERRY DR, SUITE 112
GENEVA, IL 60134
Kane County (630) 232-9000
DR. STEVEN V LEKAH M.D.
Psychiatry & Neurology (Neurology)
2172 BLACKBERRY DR, SUITE 202
GENEVA, IL 60134
Kane County (630) 208-7735
CAROLYN SHIELDS LCSW
Social Worker (Clinical)
2172 BLACKBERRY DR
GENEVA, IL 60134
Kane County (630) 797-9872
MARDI ANNE TINGZON DDS
Dentist
2172 BLACKBERRY DR, SUITE 201
GENEVA, IL 60134
Kane County (630) 208-9331
AMANDA KLOSTERMAN D.C.
Chiropractor
2172 BLACKBERRY DR, STE 102
GENEVA, IL 60134
Kane County (630) 332-0471
DR. MATTHEW SCOTT HART D.C.
Chiropractor
2172 BLACKBERRY DR, SUITE 102
GENEVA, IL 60134
Kane County (630) 262-1421
DR. TRAVIS L BOND DC
Chiropractor
2172 BLACKBERRY DR, UNIT 102
GENEVA, IL 60134
Kane County (815) 494-7063

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 Community Neurologic Center Sc's NPI number?

The NPI number for Community Neurologic Center Sc is 1487852679. It was assigned to this organization in the NPPES registry on July 10, 2007.

Where is Community Neurologic Center Sc located?

Community Neurologic Center Sc is located at 2172 Blackberry Dr Suite 202, Geneva, IL 60134. The listed phone number is (630) 208-7735.

What is Community Neurologic Center Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Community Neurologic Center Sc was last updated on September 11, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.