IAN S KATZNELSON


Address: 444 N Northwest Hwy, Ste 200, Park Ridge, IL 60068-3263
Phone: 8478252366

IAN S KATZNELSON (NPI# 1194779082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194779082
Entity Type Individual
Full Name IAN S KATZNELSON
Credential M.D.
Practice Address 444 N Northwest Hwy
Ste 200
Park Ridge
IL 60068-3263
Mailing Address Po Box 388320
Chicago
IL 60638-8320
Practice Telephone 8478252366
Practice Fax Number 8478252513
Mailing Telephone 7737678283
Mailing Fax Number 7737678320
Enumeration Date 2006-05-22
Last Update Date 2009-08-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
036106761 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL BLUE SHIELD 01615936 01
IL 036106761 05
IL RAILROAD MEDICARE P00218760 01

Office Location

Street Address 444 N NORTHWEST HWY
STE 200
City PARK RIDGE
State IL
Zip Code 60068-3263

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134194434 Gregory Peter Dyke Pharmacist 444 N Northwest Hwy, Suite 145, Park Ridge, IL 60068-3263 2006-02-21
1952931651 Carly Ann Bosco Counselor 444 N Northwest Hwy, Park Ridge, IL 60068-3263 2020-01-22
1477008522 Cassandra Nelson Physical Therapist 444 N Northwest Hwy, Suite #202, Park Ridge, IL 60068-3263 2016-08-18
1649622531 Silviya Ivanova Dentist 444 N Northwest Hwy, Park Ridge, IL 60068-3263 2016-07-05
1427430008 Hanna Psychological Services, PC Psychologist 444 N Northwest Hwy, Suite 375, Park Ridge, IL 60068-3263 2015-06-19
1306237326 Bret Greenberg Physical Therapist 444 N Northwest Hwy, Suite 202, Park Ridge, IL 60068-3263 2015-02-12
1972807188 Rainbow Hospice and Palliative Care Nurse Practitioner 444 N Northwest Hwy, Park Ridge, IL 60068-3263 2011-01-03
1992934087 Diane Barounis Social Worker 444 N Northwest Hwy, Ste 145, Park Ridge, IL 60068-3263 2009-07-09
1063664787 Jill Sanderson-davis Social Worker 444 N Northwest Hwy, Suite 145, Park Ridge, IL 60068-3263 2008-10-13
1275782922 Francine Lynn Abramson Social Worker 444 N Northwest Hwy, Suite 145, Park Ridge, IL 60068-3263 2008-09-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861010720 Caitlin Marie Kompanowski Dentist 412 W. Talcott, Park Ridge, IL 60068 2020-07-08
1972142198 Center for Authentic Living, Inc. Counselor 120 Main Street Suite 200, Park Ridge, IL 60068 2020-01-06
1306312152 Maryann Almores Devilla Physical Medicine & Rehabilitation Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 2018-10-19
1053808857 Landon Ginsberg Student in an Organized Health Care Education/Training Program 1775 Ballard, Park Ridge, IL 60068 2018-04-17
1255828448 Vera W Brink Obstetrics & Gynecology Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 2018-04-13
1205367448 Courtney Heim Psychiatry & Neurology 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 2017-03-21
1720521362 Alexander Mylonas Psychologist 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 2016-11-30
1376090878 Rebecca Rajasekhar Audiologist 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 2016-09-01
1164818449 Mohammad Taha Mustaf Taha Mustafa Sheikh Student in an Organized Health Care Education/Training Program 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 2015-04-13
1518397918 Megan Roberts Speech-Language Pathologist 2240 Campus Dr., Evanston, IL 60068 2013-11-21
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942241302 Smriti N Wagle Psychiatry & Neurology 1875 Dempster St Ste 625, Park Ridge, IL 60068-1137 2006-06-09
1114360005 Syema Sheikh Psychiatry & Neurology 1775 Ballard Rd, Park Ridge, IL 60068-1005 2013-04-10
1710249503 Pavan Vabilisetti Murty Psychiatry & Neurology 1875 Dempster St Ste 625, Park Ridge, IL 60068-1137 2012-06-08
1962667808 Heather E Leeper Psychiatry & Neurology 1700 Luther Ln, Ste 1110, Park Ridge, IL 60068-1270 2008-07-21
1578787537 David P. Calimag Md Sc Psychiatry & Neurology 1600 Dempster St, Suite Ll3, Park Ridge, IL 60068-1109 2007-04-12
1164530804 Darren Ross Gitelman Psychiatry & Neurology 1875 Dempster St, Suite 550, Park Ridge, IL 60068-1186 2006-08-25
1811933757 Timothy John Mikesell Psychiatry & Neurology 1775 Ballard Rd, Park Ridge, IL 60068-1005 2006-06-21
1982659413 William Davison Psychiatry & Neurology 444 N Northwest Hwy, Ste 200, Park Ridge, IL 60068-3263 2006-05-23
1164475737 Diagnostic Neurology, Ltd Psychiatry & Neurology 444 N Northwest Hwy, Ste 200, Park Ridge, IL 60068-3263 2006-05-17
1447231154 David P Calimag Psychiatry & Neurology 1600 W Dempster St, Park Ridge, IL 60068-1109 2005-11-09
Find all providers in PARK RIDGE

Competitor

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City PARK RIDGE
Zip Code 60068

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Dataset Information

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.

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