SOUTH SUBURBAN NEUROLOGY LTD (NPI# 1063539641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063539641 |
| Entity Type | Organization |
| Organization Name | SOUTH SUBURBAN NEUROLOGY LTD |
| Practice Address |
3235 Vollmer Rd Ste 110 Flossmoor IL 60422-2013 |
| Mailing Address |
Po Box 280 Chicago Heights IL 60412-0280 |
| Practice Telephone | 7089573737 |
| Practice Fax Number | 7089572516 |
| Mailing Telephone | 7089573737 |
| Mailing Fax Number | 7089572516 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. LAURA MARIE TURPIN (BILLING MANAGER) |
| Authorized Official Telephone | 7089572993 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | IL | Other Service Providers |
| Street Address |
3235 VOLLMER RD STE 110 |
| City | FLOSSMOOR |
| State | IL |
| Zip Code | 60422-2013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730189259 | Marvin Zelkowitz | Specialist | 3235 Vollmer Rd, Suite 110, Flossmoor, IL 60422-2013 | 2005-07-27 |
| 1164831046 | Awakened Alternatives Inc. | Nursing Care | 3235 Vollmer Rd, Ste. 200, Flossmoor, IL 60422-2013 | 2014-08-05 |
| 1811248909 | Lisa Michelle Haglund | Social Worker | 3235 Vollmer Rd, Suite 137, Flossmoor, IL 60422-2013 | 2012-09-28 |
| 1750648408 | Thomas T. Chung M.d. P.C. | Specialist | 3235 Vollmer Rd, Suite 139, Flossmoor, IL 60422-2013 | 2012-04-19 |
| 1366733529 | Awakened Alternatives Enterprises | Case Management | 3235 Vollmer Rd, Suite 200, Flossmoor, IL 60422-2013 | 2011-04-22 |
| 1689877177 | John A. Grund | Dentist | 3235 Vollmer Rd, Flossmoor, IL 60422-2013 | 2007-06-11 |
| 1033234992 | Susan Vorwerk Mat Ccc Slp Speech & Language Pathology Services PC | Speech-Language Pathologist | 3235 Vollmer Rd, Suite 104, Flossmoor, IL 60422-2013 | 2007-03-20 |
| 1821128141 | Susan Jane Richard Vorwerk | Speech-Language Pathologist | 3235 Vollmer Rd, Suite 104, Flossmoor, IL 60422-2013 | 2007-03-06 |
| 1174678684 | Patrick L Mcginnis | Internal Medicine | 3235 Vollmer Rd, Suite 120, Flossmoor, IL 60422-2013 | 2007-01-24 |
| 1336298934 | Katherine L Dahlberg | Social Worker | 3235 Vollmer Rd, Suite 119, Flossmoor, IL 60422-2013 | 2007-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274310 | Miranda Home Health Care Inc | Nursing Care | 19150 S. Kedzie Ave, 203, Flossmoor, IL 60422 | 2020-08-06 |
| 1285256172 | Bp Behavioral Services, LLC | Behavioral Analyst | 2222 Marston Lane, Flossmoor, IL 60422 | 2020-05-13 |
| 1891164133 | Lauren Simpson | Behavioral Analyst | 19530 Kezie Avenue, Flossmoor, IL 60422 | 2015-09-16 |
| 1437541190 | Keshawn Gardner | Specialist/Technologist, Other | 1248 Berry Ln, Flossmoor, IL 60422 | 2015-03-04 |
| 1770989717 | Naomi Kelly | Behavioral Analyst | 1930 Kedzie Avenue, Flossmoor, IL 60422 | 2014-11-18 |
| 1093059453 | Miranda Home Health Care Inc | In Home Supportive Care | 19150 S Kedzie Ave, 203, Flossmoor, IL 60422 | 2012-11-23 |
| 1285981506 | Restorative Life Services, LLC | Social Worker | 169624 Governors Highway, Flossmoor, IL 60422 | 2012-08-06 |
| 1063786457 | Gwyneeda Carter-sidberry | Pharmacist | 1443 Selkirk Street, Flossmoor, IL 60422 | 2012-03-02 |
| 1053682021 | Alfonso Javier Medina Sr. | Anesthesiology | 3141 Stonegate Ct., Flossmoor, IL 60422 | 2012-01-23 |
| 1912121161 | Anthony J Maoloni | Dentist | 19815 Governors Highway, Orthodontic Associates Ltd Suite 1, Flossmoor, IL 60422 | 2007-04-12 |
| Find all providers in zip 60422 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831212232 | Ob Care LLC | Specialist | 19150 S Kedzie, Suite 100, Flossmoor, IL 60422 | 2007-04-09 |
| 1730189259 | Marvin Zelkowitz | Specialist | 3235 Vollmer Rd, Suite 110, Flossmoor, IL 60422-2013 | 2005-07-27 |
| 1750648408 | Thomas T. Chung M.d. P.C. | Specialist | 3235 Vollmer Rd, Suite 139, Flossmoor, IL 60422-2013 | 2012-04-19 |
| 1417053901 | Anthony Lee Brown | Specialist | 3235 Vollmer Rd, Suite 147, Flossmoor, IL 60422-2013 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850730 | Nirvana Medspa and Laser Center, Ltd | Specialist | 11801 Southwest Hwy Ste 2n, Palos Heights, IL 60463-1069 | 2020-10-27 |
| 1801402938 | Terri Sendelbach | Specialist | 340 W Butterfield Rd Ste 4b-418, Elmhurst, IL 60126-5069 | 2020-09-23 |
| 1346899630 | Jeremy Gantz Morse | Specialist | 815 W Buena Ave, Chicago, IL 60613-1694 | 2019-09-09 |
| 1619539632 | Benjamin Mendoza | Specialist | 6303 W 63rd St Unit 3c, Chicago, IL 60638-7015 | 2019-06-29 |
| 1891356176 | Kristin Michelle Stahlheber | Specialist | 6718 Goshen Rd, Edwardsville, IL 62025-3025 | 2019-06-26 |
| 1689238438 | Sara Sladoje | Specialist | 936 Raleigh Rd, Glenview, IL 60025-4330 | 2019-04-26 |
| 1760940100 | Eqmd, Inc. | Specialist | 1800 Nations Dr Ste 216, Gurnee, IL 60031-9174 | 2019-03-05 |
| 1962979286 | Time 2 Talk, LLC | Specialist | 6791 Wesley Chapel Rd, Chatham, IL 62629-9722 | 2018-10-24 |
| 1871068783 | Kelsey Lynn Mora | Specialist | 5225 Old Orchard Rd Ste 14, Skokie, IL 60077-1027 | 2018-10-06 |
| 1811471808 | Judith M Penn | Specialist | 8312 S Kedzie Ave, Chicago, IL 60652-3309 | 2018-09-17 |
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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.