ADULT AND PEDIATRIC NEUROLOGY


Address: 5318 W Devon Ave, Chicago, IL 60646-4108
Phone: 7737746440

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
IL 036133912 05

Office Location

Street Address 5318 W DEVON AVE
City CHICAGO
State IL
Zip Code 60646-4108

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 2084N0402X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology with Special Qualifications in Child Neurology

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City CHICAGO
Zip Code 60646

Improve Information

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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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