ADVANCED NEUROLOGICAL ASSOCIATES SC (NPI# 1003015074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003015074 |
| Entity Type | Organization |
| Organization Name | ADVANCED NEUROLOGICAL ASSOCIATES SC |
| Practice Address |
191 Waukegan Rd Suite 120 Northfield IL 60093-2756 |
| Practice Telephone | 8477161302 |
| Practice Fax Number | 8477161312 |
| Mailing Telephone | 8477161302 |
| Mailing Fax Number | 8477161312 |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2015-04-17 |
| Authorized Official Name | DR. MARY ANGELOPOULOS (OWNER) |
| Authorized Official Telephone | 8477161302 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 036-088382 | IL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD OF | 1630244 | 01 |
| IL | 036088382 | 05 |
| Street Address |
191 WAUKEGAN RD SUITE 120 |
| City | NORTHFIELD |
| State | IL |
| Zip Code | 60093-2756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184730053 | Geoffrey Sydney Shaw | Psychiatry & Neurology | 191 Waukegan Rd, Ste 120, Northfield, IL 60093 | 2006-08-22 |
| 1083920573 | Vision Rehabilitation Associates PC | Optometrist | 191 Waukegan Rd, Suite 115, Northfield, IL 60093-2756 | 2010-08-23 |
| 1184756587 | Rachel Handler | Psychologist | 191 Waukegan Rd, Suite 120, Northfield, IL 60093-2756 | 2007-03-12 |
| 1609911866 | Pieroth Consulting Group, Inc. | Clinical Neuropsychologist | 191 Waukegan Rd, Northfield, IL 60093-2756 | 2007-02-21 |
| 1417069022 | Mary Angelopoulos | Psychiatry & Neurology | 191 Waukegan Rd, Suite 120, Northfield, IL 60093-2756 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740812346 | Rosa Machabanski | Counselor | Josselyn Center, 405 Central Ave, Northfield, IL 60093 | 2020-02-11 |
| 1972080273 | Solutions-north Shore | Clinic/Center | 550 W Frontage Road, Suite 2810, Northfield, IL 60093 | 2018-07-19 |
| 1639671001 | Ilyssa Emily Lasky | Counselor | 723 Elm St Ste 20, Winnetka, IL 60093 | 2018-03-01 |
| 1285140079 | Rebecca Price | Social Worker | 400 Central Ave Ste 202, Northfield, IL 60093 | 2017-12-17 |
| 1063801033 | Anthony J. Geroulis, Md., S.c | Otolaryngology | 330 West Frontage Rd, Northfield, IL 60093 | 2015-01-14 |
| 1417354093 | Ardeshir Raghian Dds PC | Dentist | 723 Elm Street, Suite 21, Winnetka, IL 60093 | 2014-11-26 |
| 1811261092 | Jordan Allen Anderson | Specialist/Technologist | 7 Happ Road, New Trier Township High School, Northfield, IL 60093 | 2012-03-06 |
| 1326317801 | Anita Lynn Schmidt | Social Worker | 466 Central Ave Ste 50, Northfield, IL 60093 | 2011-12-29 |
| 1992087027 | Sivan Hannah Schondorf | Speech-Language Pathologist | 465 Central Ave., 201, Northfield, IL 60093 | 2011-09-14 |
| 1831409317 | The Arnold Center for Integrated Wellness, P.C. | Psychologist | 456 W. Frontage Rd., Suite 32, Northfield, IL 60093 | 2010-10-18 |
| Find all providers in zip 60093 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An 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. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053750588 | Spectrum Fitness, LLC | Specialist | 2300 New Rd Ste 103, Northfield, NJ 08225-1457 | 2013-06-18 |
| 1083050033 | Kids In Sync | Specialist | 222 Northfield Rd Ste 201, Northfield, IL 60093-3347 | 2013-05-17 |
| 1659600898 | Megan M Carrick | Specialist | 222 Northfield Rd, Suite 201, Northfield, IL 60093-3374 | 2009-12-17 |
| 1659465896 | David H. Feng | Specialist | 200 Tilton Rd, Unit G-5, Northfield, NJ 08225-1270 | 2006-10-03 |
| 1972514594 | Lillian T. Chen-byerley | Specialist | 171 Lagoon Dr, Northfield, IL 60093-3509 | 2006-08-10 |
| 1942273875 | Patricia Julie Young | Specialist | 218 Birnam Rd, Northfield, MA 01360-9526 | 2006-02-10 |
| 1275970766 | Olivia Bayer | Specialist | 222 Northfield Rd, Suite 201, Northfield, IL 60093-3374 | 2013-05-24 |
| 1366771503 | Jeryl Berger | Specialist | 495 Central Ave, Unit 102, Northfield, IL 60093-3044 | 2009-12-17 |
| 1710216973 | Kara Beth Englund | Specialist | 495 Central Ave, Northfield, IL 60093-3044 | 2009-12-17 |
| 1417175696 | Minnesota Orthodontics and Dentofacial Orthopedics Pa | Specialist | 2019 Jefferson Rd, Suite C, Northfield, MN 55057-3258 | 2007-04-23 |
| Find all providers in NORTHFIELD | ||||
| City | NORTHFIELD |
| Zip Code | 60093 |
Please comment or provide details below to improve the information on ADVANCED NEUROLOGICAL ASSOCIATES SC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.