NEURO-DIAGNOSTIC INSTITUTE LLC (NPI# 1154624823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154624823 |
| Entity Type | Organization |
| Organization Name | NEURO-DIAGNOSTIC INSTITUTE LLC |
| Practice Address |
1201 Hohlfelder Rd 100 Glencoe IL 60022-1020 |
| Practice Telephone | 8474718587 |
| Mailing Telephone | 8474718587 |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2011-02-22 |
| Authorized Official Name | SIMON ZIMNOWODZKI (PRESIDENT) |
| Authorized Official Telephone | 8474718587 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
036066313 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1201 HOHLFELDER RD 100 |
| City | GLENCOE |
| State | IL |
| Zip Code | 60022-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528406188 | Lauren J Schneider | Chiropractor | 378 Park Avenue, Suite 1d, Glencoe, IL 60022 | 2013-06-05 |
| 1356689897 | Christopher L. Johnston | Counselor | 706 Green Bay Road, Suite 3, Glencoe, IL 60022 | 2013-01-17 |
| 1447533039 | Inna Serman | Pharmacist | 63 N Greenbay Rd, Glenco, IL 60022 | 2011-09-21 |
| 1023263084 | Jacqueline Kessler-santiccioli | Speech-Language Pathologist | 725 Apple Tree Lane, Glencoe, IL 60022 | 2008-11-18 |
| 1639385628 | Michael P Bobrow | Dentist | 630 Vernon Ave, Suite C Lakeshore Dental Inc, Glencoe, IL 60022 | 2007-05-15 |
| 1073738423 | Meg Racenstein | Clinical Neuropsychologist | 630 N. Vernon Ave., Suite G, Glencoe, IL 60022 | 2007-04-13 |
| 1073650479 | Jerome Meyer Grunes | Psychiatry & Neurology | 110 Dell Place, Glencoe, IL 60022 | 2007-02-01 |
| 1457428740 | Anne Rousseau Douglas | Marriage & Family Therapist | 190 Maple Hill Road, Glencoe, IL 60022 | 2006-11-29 |
| 1194891952 | Shona Angle | Social Worker | 755 Greenwood Avenue, Glencoe, IL 60022 | 2006-11-25 |
| 1407932379 | Brooke Kayman Fox | Social Worker | 850 North Milwaukee Avenue, Suite 209, Vernon Hills, IL 60022 | 2006-10-31 |
| Find all providers in zip 60022 | ||||
| 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 |
| 1811546484 | Glencor Neuromonitoring LLC | Psychiatry & Neurology | 611 S Milwaukee Ave Ste 8, Libertyville, IL 60048-3256 | 2019-09-06 |
| 1750941639 | Ammar Tarabichi | Psychiatry & Neurology | 751 N Rutledge, Springfield, Il, Springfield, IL 62794 | 2019-06-13 |
| 1972167906 | Kazkaz Southwest Neurology S.c. | Psychiatry & Neurology | 1890 Silver Cross Blvd Ste 320, New Lenox, IL 60451-9610 | 2019-04-25 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.