ADULT AND PEDIATRIC NEUROLOGY (NPI# 1720532773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720532773 |
Entity Type | Organization |
Organization Name | ADULT AND PEDIATRIC NEUROLOGY |
Practice Address |
5318 W Devon Ave Chicago IL 60646-4108 |
Mailing Address |
677 Carriage Hill Dr Glenview IL 60025-5402 |
Practice Telephone | 7737746440 |
Mailing Telephone | 2074089300 |
Enumeration Date | 2016-08-08 |
Last Update Date | 2016-08-08 |
Authorized Official Name | DR. OLGA KOZLOVA (NEUROLOGIST) |
Authorized Official Telephone | 2074089300 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
036.133912 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036133912 | 05 |
Street Address |
5318 W DEVON AVE |
City | CHICAGO |
State | IL |
Zip Code | 60646-4108 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386738961 | Serafin Francisco Veramendi | Internal Medicine | 5318 W Devon Ave, Suite 8, Chicago, IL 60646-4108 | 2006-10-03 |
1952791220 | Chicago Lipo Laser, LLC | Clinic/Center | 5318 W Devon Ave, Chicago, IL 60646-4108 | 2015-01-26 |
1982830220 | Guerra Family Dental Co. | Clinic/Center | 5318 W Devon Ave, Chicago, IL 60646-4108 | 2009-06-01 |
1871753012 | Richard Guerra | Dentist | 5318 W Devon Ave, Chicago, IL 60646-4108 | 2008-06-11 |
1730396318 | A.m. & M.d. Brohner D.p.m., Inc | Podiatrist | 5318 W Devon Ave, Chicago, IL 60646-4108 | 2007-05-16 |
1336369875 | Advanced Imaging Specialists, Inc. | Clinic/Center | 5318 W Devon Ave, Chicago, IL 60646-4108 | 2007-04-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801312087 | Manal Ibrahim | Dentist | 6228 N Keystone Ave, Chicago, IL 60646 | 2017-08-18 |
1750820742 | Kaitlin O'brien | Student in an Organized Health Care Education/Training Program | 5801 N Pulaski, Chicago, IL 60646 | 2017-02-23 |
1659810646 | Sofia Trani | Student in an Organized Health Care Education/Training Program | 5801 N. Pulaski Rd, Chicago, IL 60646 | 2017-02-23 |
1487191151 | Ronald E. Rysztogi | Naprapath | 5704 N. Austin, Chicago, IL 60646 | 2017-01-19 |
1417403148 | Joyful Dental Care | Clinic/Center | 6314 N. Cicero Avenue, Chicago, IL 60646 | 2016-09-01 |
1164889754 | Physicians At Call | Family Medicine | 5901 N. Cicero Ave, Ste 207, Chicago, IL 60646 | 2016-01-27 |
1245610617 | Arlett Payne | Physician Assistant | 5906 N Milwaukee, Chicago, IL 60646 | 2015-06-01 |
1811375843 | North River Mental Health Center | Community/Behavioral Health | 5801 North Pulaski Road, Chicago, IL 60646 | 2015-05-11 |
1003157298 | Family Choice Home Health | Homemaker | 5933 N Milwaukee Avenue, Chicago, IL 60646 | 2013-03-13 |
1235479593 | Antonina Skapars Trinkuns | Psychiatry & Neurology | 6404 N. Tahoma Ave., Chicago, IL 60646 | 2013-02-25 |
Find all providers in zip 60646 |
Taxonomy Code | 2084N0402X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology with Special Qualifications in Child Neurology |
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851558001 | Lubov Romantseva | Psychiatry & Neurology | 1725 W Harrison St Ste 718, Department of Pediatrics, Section of Child Neurology, Chicago, IL 60612-3863 | 2008-05-16 |
1356446306 | Leonard D Elkun Md Sc | Psychiatry & Neurology | 411 W Ontario St, Suite 402, Chicago, IL 60610-6945 | 2006-09-14 |
1023129145 | Leonard David Elkun | Psychiatry & Neurology | 411 W. Ontario St, Suite 402, Chicago, IL 60610-6945 | 2006-08-31 |
1811929003 | Charles Nash Swisher | Psychiatry & Neurology | 2515 N Clark Street, Suite, Chicago, IL 60614 | 2006-07-07 |
1578531950 | David G Ritacco | Psychiatry & Neurology | 225 E Chicago Ave # 51, Chicago, IL 60611-2991 | 2006-03-10 |
1386639342 | Audrius V Plioplys | Psychiatry & Neurology | 8844 S Pleasant Ave, Chicago, IL 60620-5441 | 2005-09-15 |
1851785547 | Henry David | Psychiatry & Neurology | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2015-03-20 |
1972910404 | David Andrew Bieber | Psychiatry & Neurology | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2014-07-16 |
1992122410 | Divakar Mithal | Psychiatry & Neurology | 225 E Chicago Ave Dept Of, Chicago, IL 60611-2991 | 2014-03-21 |
1457795858 | Emily Donna Doll | Psychiatry & Neurology | 5841 S Maryland Ave Mc 3055, Chicago, IL 60637-1447 | 2013-04-29 |
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.