ADVANCED NEUROLOGICAL TESTING SERVICES LLC (NPI# 1912201823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912201823 |
| Entity Type | Organization |
| Organization Name | ADVANCED NEUROLOGICAL TESTING SERVICES LLC |
| Practice Address |
5241 S Cicero Ave Chicago IL 60632-4967 |
| Mailing Address |
Po Box 388775 Chicago IL 60638-8775 |
| Practice Telephone | 8883227117 |
| Practice Fax Number | 8887321623 |
| Mailing Telephone | 8883227117 |
| Mailing Fax Number | 8887321623 |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2011-01-06 |
| Authorized Official Name | DR. JERRY SZYMANSKI (PRESIDENT) |
| Authorized Official Telephone | 8883227117 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Street Address |
5241 S CICERO AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60632-4967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417066689 | Matthew George Garoufalis | Podiatrist | 5241 S Cicero Ave, Suite 103, Chicago, IL 60632-4967 | 2006-08-30 |
| 1063028538 | Podiatric Management Systems LLC | Podiatrist | 5241 S Cicero Ave, Chicago, IL 60632-4967 | 2020-09-21 |
| 1750847539 | Vibration Therapy Solutions LLC | Clinic/Center | 5241 S Cicero Ave, Chicago, IL 60632-4967 | 2019-02-15 |
| 1558788760 | Life Gate Pharmacy LLC | Emergency Medicine | 5241 S Cicero Ave, Chicago, IL 60632 | 2014-03-25 |
| 1063838522 | Medical and Rehababilitation Center of Chicago LLC | Clinic/Center | 5241 S Cicero Ave, Chicago, IL 60632-4967 | 2014-03-07 |
| 1255606976 | Advanced Neurological Diagnostics, LLC | Clinic/Center | 5241 S Cicero Ave, Suite 201, Chicago, IL 60632-4967 | 2012-03-13 |
| 1801194279 | Sound Sleep | Clinic/Center | 5241 S Cicero Ave, Chicago, IL 60632-4967 | 2011-03-08 |
| 1285881003 | Luke Warner Kovatch | Podiatrist | 5241 S Cicero Ave, Ste 103, Chicago, IL 60632-4967 | 2008-08-22 |
| 1649457920 | Pain Management Services Midwest, Ltd. | Chiropractor | 5241 S Cicero Ave, Chicago, IL 60632-4967 | 2008-01-29 |
| 1063615557 | Professional Foot Care Specialists, P.C. | Podiatrist | 5241 S Cicero Ave, Suite 103, Chicago, IL 60632-4967 | 2007-06-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104474790 | Amanda Rose Dirnberger | Nurse Practitioner | 3229-43 W. 47th Pl., Chicago, IL 60632 | 2019-08-28 |
| 1982121042 | Brown Archer Dental PC | Dentist | 4893 S Archer Ave, Chicago, IL 60632 | 2017-08-29 |
| 1538577085 | Metrosmiles - Archer Heights Dental | Dentist | 5141 S Cicero Ave, Chicago, IL 60632 | 2014-07-29 |
| 1174955173 | Thresholds | Community/Behavioral Health | 718-24 West 47th St, Chicago, IL 60632 | 2013-08-01 |
| 1659612570 | Sapex Home Healthcare, Inc. | In Home Supportive Care | 4107 West 47th Street, Chicago, IL 60632 | 2013-03-04 |
| 1912275462 | Dawn Marie Mackessy | Pharmacist | 5435 S. Kedzie Ave, Chicago, IL 60632 | 2011-12-12 |
| 1033494752 | Molly Elizabeth Mcdermott | Pharmacist | District 222-walgreens, Chicago, IL 60632 | 2011-10-13 |
| 1780908434 | Chicago Electrical Trauma Research Institute | Specialist/Technologist, Other | 4047 W. 40th Street, Chicago, IL 60632 | 2010-03-24 |
| 1265765218 | 4365 Archer Mri, LLC | Clinic/Center | 4365 South Archer Avenue, Chicago, IL 60632 | 2009-09-09 |
| 1295968121 | Smile Lee Faces | Dentist | 4197 S Archer Ave, Chicago, IL 60632 | 2009-08-26 |
| Find all providers in zip 60632 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1407484645 | Macumber Medical Ltd | Clinic/Center | 3114 W Irving Park Rd Ste 1w, Chicago, IL 60618-3435 | 2020-04-01 |
| 1689226318 | Midway Spine and Joint Pain Physicians | Clinic/Center | 5720 S Pulaski Rd, Chicago, IL 60629-4435 | 2019-07-12 |
| 1497215933 | Activate Healthcare | Clinic/Center | 2010 N Damen Ave Unit F, Chicago, IL 60647-3286 | 2019-03-21 |
| 1689989717 | A Better Weigh, Inc | Clinic/Center | 1931 W 95th St, Chicago, IL 60643-1105 | 2010-08-12 |
| 1598086399 | Bernadette B Mayer Md Sc | Clinic/Center | 5365 W Devon Ave, Chicago, IL 60646-4142 | 2010-06-15 |
| 1124295340 | Demetrios Petrovas M.d. S.c. | Clinic/Center | 3960 North Harlem Ave, Chicago, IL 60634-2219 | 2008-05-15 |
| 1689841801 | Petrovas Medical Center, S.c | Clinic/Center | 5962 N Lincoln Ave Ste 12, Chicago, IL 60659-3762 | 2008-05-15 |
| 1952577926 | Jefferson Park Medical Center, Ltd. | Clinic/Center | 4955 N Milwaukee Ave Ste 4, Chicago, IL 60630-2175 | 2008-04-30 |
| 1194833616 | Wicker Park Chiropractic Health | Clinic/Center | 2300 W North Ave, Chicago, IL 60647-5659 | 2006-08-25 |
| 1073567541 | Horizon Dante Pimentel | Clinic/Center | 4402 W Lawrence Ave, Chicago, IL 60630-2511 | 2006-05-20 |
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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.