SOUTHEAST CHICAGO NEUROLOGY ASSOCIATES SC (NPI# 1073979761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073979761 |
Entity Type | Organization |
Organization Name | SOUTHEAST CHICAGO NEUROLOGY ASSOCIATES SC |
Practice Address |
2850 S Wabash Ave Suite 102 Chicago IL 60616-2955 |
Practice Telephone | 3124963488 |
Enumeration Date | 2016-01-11 |
Last Update Date | 2016-01-11 |
Authorized Official Name | ANIL GULATI (OWNER) |
Authorized Official Telephone | 3124963488 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
Street Address |
2850 S WABASH AVE SUITE 102 |
City | CHICAGO |
State | IL |
Zip Code | 60616-2955 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013998194 | Johnnie Lewis | Podiatrist | 2850 S Wabash Ave, Ste 206, Chicago, IL 60616-2491 | 2005-11-07 |
1245542356 | Pef Clinic II Ltd | Internal Medicine | 2850 S Wabash Ave, Suite 203, Chicago, IL 60616-2955 | 2010-07-06 |
1396981460 | Indiana Regional Sleep Disorder Center, Inc | Internal Medicine | 2850 S Wabash Ave, Chicago, IL 60616-2955 | 2008-12-19 |
1235384801 | Johnnie Lewis D.p.m P.c | Podiatrist | 2850 S Wabash Ave, Ste 206, Chicago, IL 60616-2955 | 2008-11-24 |
1790931095 | The Thresholds | Community/Behavioral Health | 2850 S Wabash Ave, Chicago, IL 60616-2955 | 2008-08-18 |
1669641478 | Apogee Health Partners, Inc. | Exclusive Provider Organization | 2850 S Wabash Ave, Suite 202, Chicago, IL 60616-2955 | 2008-02-26 |
1467654913 | Margaret Bowden | Registered Nurse | 2850 S Wabash Ave, Suite 100, Chicago, IL 60616-2955 | 2007-06-05 |
1174747596 | Milton Chandler II | Naprapath | 2850 S Wabash Ave, Suite 203, Chicago, IL 60616-2955 | 2007-04-13 |
1912025776 | Global Sleep Centers Inc | Clinic/Center | 2850 S Wabash Ave, Suite #102, Chicago, IL 60616-2955 | 2007-03-27 |
1952439119 | Prairie Medical Associates | Obstetrics & Gynecology | 2850 S Wabash Ave, Ste 106, Chicago, IL 60616-2955 | 2007-03-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558993758 | King Dental, PC | Clinic/Center | 3425 S King Dr, Chicago, IL 60616 | 2020-02-06 |
1386286144 | Anais Karel Jackson-gonzalez | Acupuncturist | 2018 S. Michigan Ave., Chicago, IL 60616 | 2019-10-14 |
1215499777 | Mashaal F Ikram | Student in an Organized Health Care Education/Training Program | Mercy Hospital and Medical Center, 2525 South Michigan Avenue, Chicago, IL 60616 | 2019-04-03 |
1891254223 | Towayn Heaven | Acupuncturist | 2018 S Michigan Ave, Chicago, IL 60616 | 2019-03-15 |
1689131518 | Abhishek Santos Pandya | Internal Medicine | 2525 S Michigan Ave., Mercy Hospital and Medical Center, Chicago, IL 60616 | 2019-02-27 |
1144703992 | Katelyn Michelle St Martin | Physician Assistant | 2850 S Michigan Ave Ste 100, Chicago, IL 60616 | 2018-09-07 |
1902383953 | Healing Empowering & Learning Professionals LLC | Clinic/Center | 2930 S Michigan Ave Ste 100, Chicago, IL 60616 | 2018-07-23 |
1437644812 | Puja Bhagwakar | Dentist | 1620 S Michigan Ave Unit 704, Chicago, IL 60616 | 2018-06-27 |
1821589110 | David Alexander Sousa Frias | Internal Medicine | 2525 Michigan Ave, Mercy Hospital At Medical Center, Chicago, IL 60616 | 2018-05-23 |
1508394933 | Awad Eyecare Sc | Optometrist | 1845 S Michigan Ave Unit 1803, Chicago, IL 60616 | 2017-05-30 |
Find all providers in zip 60616 |
Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831714294 | Kaitlin E Keenan | Psychiatry & Neurology | 600 S Paulina St Ste 403aac, Chicago, IL 60612-3806 | 2020-06-11 |
1285195594 | Niccolo Emanuele Mencacci | Psychiatry & Neurology | 303 E Chicago Ave # 12-226, Chicago, IL 60611-4296 | 2019-03-28 |
1497216865 | Juan Pablo Ospina Botero | Psychiatry & Neurology | 5841 S Maryland Ave # 2030s231, Chicago, IL 60637-1443 | 2019-03-28 |
1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
1124526272 | Neurology Clinic of Chicago, LLC | Psychiatry & Neurology | 4909 W Division St Ste 302, Chicago, IL 60651-3161 | 2018-01-23 |
1538514120 | Kathleen Mary Gorman | Psychiatry & Neurology | 225 E Chicago Avenue, Chicago, IL 60611 | 2016-05-02 |
1396190203 | Lauren Brandes | Psychiatry & Neurology | 1725 W Harrison St Ste 309, Chicago, IL 60612-3844 | 2016-04-28 |
1366838708 | Tresa Elizabeth Zacharias | Psychiatry & Neurology | Northwestern University, 710 N. Lake Shore Drive, Chicago, IL 60611 | 2015-04-13 |
1588059570 | Neena R Cherayil | Psychiatry & Neurology | 259 E Erie St Fl 19, Chicago, IL 60611-2987 | 2015-04-06 |
1851782783 | Jennifer Ann Smith | Psychiatry & Neurology | 240 East Huron Street, Mcgaw Pavilion, Suite 1-203, Office of Graduate Medical Education, Chicago, IL 60611 | 2015-02-13 |
Find all providers in CHICAGO |
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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.