UNIVERSITY NEUROSURGERY AT LUTHERAN (NPI# 1598890402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598890402 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY NEUROSURGERY AT LUTHERAN |
| Practice Address |
9301 Golf Rd Suite 206 Des Plaines IL 60016-1667 |
| Practice Telephone | 3129426644 |
| Practice Fax Number | 3129422176 |
| Mailing Telephone | 3129426644 |
| Mailing Fax Number | 3129422176 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2009-03-11 |
| Authorized Official Name | SHAUN T O'LEARY (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 3129426644 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | RUSH UNIVERSITY MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BC GROUP | 01637091 | 01 |
| Street Address |
9301 GOLF RD SUITE 206 |
| City | DES PLAINES |
| State | IL |
| Zip Code | 60016-1667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295735124 | Sasikala Paidi | Internal Medicine | 9301 Golf Rd, 201, Des Plaines, IL 60016-1667 | 2005-07-21 |
| 1699034405 | Martin J Pollak Md Sc | General Practice | 9301 Golf Rd, 300, Des Plaines, IL 60016 | 2012-05-14 |
| 1013275478 | Robert Garoon | Ophthalmology | 9301 Golf Rd, Des Plaines, IL 60016 | 2012-04-23 |
| 1427372747 | Suh Chiropractic & Well-being Clinic | Clinic/Center | 9301 Golf Rd, 203, Des Plaines, IL 60016-1667 | 2010-03-15 |
| 1477719243 | Teralandur K Raghunath | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9301 Golf Rd, 204, Des Plaines, IL 60016-1667 | 2008-07-31 |
| 1669643334 | American Cancer Care PC | Internal Medicine | 9301 Golf Rd, 201, Des Plaines, IL 60016-1667 | 2008-03-20 |
| 1750507042 | Center for Vitreo Retinal Diseases | Ophthalmology | 9301 Golf Rd, Suite 102, Des Plaines, IL 60016-1667 | 2007-04-17 |
| 1548483498 | Naheed Karim-thachenkary | Occupational Therapist | 9301 Golf Rd, Suite 204, Des Plaines, IL 60016-1667 | 2007-04-10 |
| 1013036862 | Khushroo E Patel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9301 Golf Rd, Suite 204, Des Plaines, IL 60016-1667 | 2007-03-29 |
| 1609994441 | Ira Garoon | Ophthalmology | 9301 Golf Rd, Suite #102, Des Plaines, IL 60016-1667 | 2007-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043702830 | Professional Healthcare Inc | Family Medicine | 960 Rand Rd Ste 224, Des Plaines, IL 60016 | 2018-06-06 |
| 1407367022 | Vcare Pharmacy Inc | Pharmacy | 380 E Nortwest Hwy, Suite 201, Des Plaines, IL 60016 | 2017-10-23 |
| 1649799610 | George N Hotousiotis | Pharmacist | 10 East Golf Road, Des Plaines, IL 60016 | 2017-09-11 |
| 1619494838 | Abdul M Shamsuddin | Physical Therapist | 2555 Suffield St, Des Plaines, IL 60016 | 2017-08-28 |
| 1063960482 | Rachel Kimbrough | Counselor | 100 N River Road, Des Plaines, IL 60016 | 2016-09-14 |
| 1902250178 | Perfect Storm Chiropractic, LLC | Chiropractor | 565 Concord Ln, Des Plaines, IL 60016 | 2016-04-14 |
| 1255796611 | Nektaria Goudis | Psychologist | 950 Lee Street, Des Plaines, IL 60016 | 2015-12-29 |
| 1831501352 | Gary R. Kuntz | Dentist | 1173 Algonquin Rd., Des Plaines, IL 60016 | 2014-06-02 |
| 1558773754 | Midwest Anesthesia and Pain Specialists, Sc | Pain Medicine | 9700 Golf Rd, Second Floor, Des Plaines, IL 60016 | 2014-05-22 |
| 1508282377 | Maciej Padowski | Emergency Medicine | 9500 Greenwood Dr, Des Plaines, IL 60016 | 2014-03-17 |
| Find all providers in zip 60016 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871114371 | Justin Michael | Neurological Surgery | 701 N 1st St Ste D-319, Springfield, IL 62702-3757 | 2020-05-06 |
| 1023678638 | Matthew Weber | Neurological Surgery | 701 N 1st St, Suite D-319, Springfield, IL 61702 | 2019-06-17 |
| 1891281499 | Kamran Khan, Sc | Neurological Surgery | 1890 Silver Cross Blvd Ste 450, New Lenox, IL 60451-9518 | 2018-07-06 |
| 1881124030 | Denise Brunozzi | Neurological Surgery | 912 South Wood Street, 451 N - Hc 739, Chicago, IL 60612 | 2017-06-19 |
| 1407218365 | St Anthonys Physician Organization of Illinois | Neurological Surgery | 211 S Burns Ave, Sparta, IL 62286-1895 | 2016-03-22 |
| 1225455181 | Jehad Algharabli | Neurological Surgery | 2218 S Leavitt St, Chicago, IL 60608-4008 | 2014-03-27 |
| 1992041461 | Gursant Atwal | Neurological Surgery | University of Il Hospital & Health Science System, 1740 W Taylor St, Chicago, IL 60612 | 2013-01-02 |
| 1629321112 | James Bruce Mansfield | Neurological Surgery | 5 Loch Ln, South Barrington, IL 60010-9532 | 2012-10-21 |
| 1639445877 | Joseph R Rivas | Neurological Surgery | 511 W Belmont Ave, #32, Chicago, IL 60657-4663 | 2012-03-30 |
| 1356637722 | Melissa M Stamates | Neurological Surgery | 2650 Ridge Ave Fl 3, Evanston, IL 60201 | 2011-06-23 |
| Find all providers with the same taxonomy | ||||
| City | DES PLAINES |
| Zip Code | 60016 |
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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.