GREAT LAKES NEUROSURGICAL ASSOCIATES LLC
NPI 1578743019
Neurological Surgery in Kenosha, WI

Active since November 13, 2007
10400 75TH ST, KENOSHA, WI 53142(262) 948-7000 Get Directions Write a Review

NPPES record last updated: May 17, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Great Lakes Neurosurgical Associates Llc NPPES

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

GREAT LAKES NEUROSURGICAL ASSOCIATES LLC (NPI 1578743019) is a healthcare organization registered as a neurological surgery in Kenosha, Wisconsin and active in the NPI registry since November 2007. The organization lists Yashdip S Pannu, Owner, as its authorized official.

NPPES Registry Identity

NPI1578743019
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameGREAT LAKES NEUROSURGICAL ASSOCIATES LLC
Location Address10400 75TH STKenosha, WI 53142-7884
Mailing AddressPo Box 241393Milwaukee, WI 53224-9032
Organization SubpartYes
Authorized OfficialYashdip S PannuOwner · (414) 385-8702
Enumeration DateNovember 13, 2007
Last NPPES UpdateMay 17, 2013
NPI 1578743019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
10400 75TH ST, Kenosha, WI 53142

Other Identifiers 1

Medicare PIN000052140WI

Group Practice 1

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

Other Providers at the Same Location NPPES 20

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

Anesthesiology
10400 75TH ST
KENOSHA, WI 53142
Physician Assistant
10400 75TH ST
KENOSHA, WI 53142
Nurse Practitioner (Women's Health)
10400 75TH ST
KENOSHA, WI 53142
Emergency Medicine
10400 75TH ST, AURORA MEDICAL CENTER
KENOSHA, WI 53142
Nurse Anesthetist, Certified Registered
10400 75TH ST
KENOSHA, WI 53142
Nurse Anesthetist, Certified Registered
10400 75TH ST
KENOSHA, WI 53142
Internal Medicine
10400 75TH ST
KENOSHA, WI 53142
Registered Nurse (Critical Care Medicine)
10400 75TH ST
KENOSHA, WI 53142

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 Neurosurgical Associates LLC's NPI number?

The NPI number for Great Lakes Neurosurgical Associates LLC is 1578743019. It was assigned to this organization in the NPPES registry on November 13, 2007.

Where is Great Lakes Neurosurgical Associates LLC located?

Great Lakes Neurosurgical Associates LLC is located at 10400 75th St, Kenosha, WI 53142. The listed phone number is (262) 948-7000.

What is Great Lakes Neurosurgical Associates LLC's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

When was this NPI record last updated?

The NPPES record for Great Lakes Neurosurgical Associates LLC was last updated on May 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.