ADVANCED NEUROSCIENCE INNOVATION INSTITUTE LLC (NPI# 1801339858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801339858 |
| Entity Type | Organization |
| Organization Name | ADVANCED NEUROSCIENCE INNOVATION INSTITUTE LLC |
| Practice Address |
5666 E State St Rockford IL 61108-2425 |
| Mailing Address |
Po Box 639 Thiensville WI 53092-0639 |
| Practice Telephone | 8153955261 |
| Practice Fax Number | 8153817581 |
| Mailing Telephone | 4142479005 |
| Mailing Fax Number | 4142479004 |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2016-11-23 |
| Authorized Official Name | AKRAM SHHADEH (PRESIDENT/OWNER) |
| Authorized Official Telephone | 9739015457 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 036141087 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | LICENSE DR SHHADEH | 036.141087 | 01 |
| IL | LICENSE DR GHEITH | 036140536 | 01 |
| Street Address |
5666 E STATE ST |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61108-2425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508849209 | Richard Emery Freeman | Neurological Surgery | 5666 E State St, Rockford, IL 61108-2425 | 2005-11-28 |
| 1881293348 | Salman Nafees | Nurse Anesthetist, Certified Registered | 5666 E State St, Rockford, IL 61108-2425 | 2020-10-25 |
| 1346856424 | Keely K Zunker | Nurse Practitioner | 5666 E State St, Rockford, IL 61108-2472 | 2020-09-23 |
| 1962026476 | Angie Youssef Hernandez | Student in an Organized Health Care Education/Training Program | 5666 E State St, Rockford, IL 61108-2425 | 2020-06-01 |
| 1568085710 | Kelsey Surowiec | Student in an Organized Health Care Education/Training Program | 5666 E State St, Rockford, IL 61108-2425 | 2020-05-22 |
| 1801415864 | Kyle R Clark | Physician Assistant | 5666 E State St, Rockford, IL 61108-2425 | 2020-04-10 |
| 1508495144 | Sadie Jae Pierce-mulligan | 5666 E State St, Rockford, IL 61108-2425 | 2020-04-06 | |
| 1376170183 | Nicole Ann O'neill | Dietitian, Registered | 5666 E State St, Rockford, IL 61108-2425 | 2020-03-24 |
| 1447884804 | Marissa Ann Giannangeli | Occupational Therapist | 5666 E State St, Rockford, IL 61108-2425 | 2020-02-25 |
| 1023659711 | Erin R. Moody | Physician Assistant | 5666 E State St, Rockford, IL 61108-2425 | 2019-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952862617 | Isr Enterprises, Inc. | Homemaker | 129 Phelps Ave, Bldg 10, Ste 1008, Rockford, IL 61108 | 2019-03-26 |
| 1003306465 | Adrienne Nicole Black | Behavior Technician | 519 Woodland Dr, Woodland Dr, Rockford, IL 61108 | 2018-05-11 |
| 1184085201 | Integrative Healing Center, LLC | Clinic/Center | 6019 Fincham Drive, Rockford, IL 61108 | 2016-03-17 |
| 1730547936 | Perryville Dentist PC | Dentist | 845 S Perryville Rd, Unit 119, Rockford, IL 61108 | 2016-02-02 |
| 1023489853 | Nicole Ping Ticknor | Counselor | 433 S. Phelps Ave., Suite 2, Rockford, IL 61108 | 2015-10-20 |
| 1275940348 | Northwest Home Care, Inc. | Home Health | 1437 S. Bell School Road, Suite 7, Rockford, IL 61108 | 2014-07-21 |
| 1487072922 | Alecia Greenlee | Psychiatry & Neurology | Rosecrance Community Mental Health, 3815 Harrison Avenue, Rockford, IL 61108 | 2014-04-02 |
| 1871925446 | Maria Laura Gustafson | Interpreter | 3208 Wesleyan Ave., Rockford, IL 61108 | 2013-08-06 |
| 1346582822 | Joseph Peevey | Pathology | 5666 E State Street, Department of Pathology, Rockford, IL 61108 | 2013-03-21 |
| 1134466923 | James Henry Peck | Hearing Instrument Specialist | 2424 Charles St, Rockford, IL 61108 | 2013-01-14 |
| Find all providers in zip 61108 | ||||
| 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 |
|---|---|---|---|---|
| 1821156951 | Neurological Clinic of Rockford Sc | Neurological Surgery | 2825 Glenwood Avenue, Rockford, IL 61101 | 2006-12-04 |
| 1861593592 | Rolando Perez | Neurological Surgery | 1491 Stony Creek Way, Apt 2, Rockford, IL 61108-1210 | 2006-09-26 |
| 1508849209 | Richard Emery Freeman | Neurological Surgery | 5666 E State St, Rockford, IL 61108-2425 | 2005-11-28 |
| 1396727970 | Nicholas J Manno | Neurological Surgery | 2825 Glenwood Ave, Rockford, IL 61101-3542 | 2005-11-18 |
| 1871860056 | Saint Anthony Medical Center | Neurological Surgery | 535 Roxbury Rd, Rockford, IL 61107-5076 | 2011-11-16 |
| 1295905107 | Gayatri Sonti | Neurological Surgery | 1340 Charles St Ste 400, Rockford, IL 61104-2200 | 2008-03-06 |
| 1669640504 | Todd D Alexander Md Sc | Neurological Surgery | 1235 N Mulford Rd, Suite 210, Rockford, IL 61107-3879 | 2008-02-13 |
| 1356520795 | Ronald F Yake Md Sc | Neurological Surgery | 1021 N Mulford Rd, Suite L3, Rockford, IL 61107 | 2007-11-02 |
| 1891974234 | Morris Marc Soriano Md Ltd | Neurological Surgery | 973 Featherstone Rd, Suite360, Rockford, IL 61107-5912 | 2007-11-02 |
| 1568510006 | Morris Marc Soriano | Neurological Surgery | 973 Featherstone Rd, Suite 360, Rockford, IL 61107-5912 | 2007-01-08 |
| Find all providers in ROCKFORD | ||||
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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.