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CHICAGO NEUROPATHOLOGY SERVICE NPI 1619946993


NPI Information

NPI: 1619946993
Provider Name: CHICAGO NEUROPATHOLOGY SERVICE
Classification: Pathology - 207ZN0500X
Entity Type: Organization

Specialization: Neuropathology

Address:
5 REVERE DR
SUITE 200
NORTHBROOK, IL
ZIP 60062
Phone: (847) 498-7512
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CHICAGO NEUROPATHOLOGY SERVICE is a neuropathology pathology in Northbrook, IL. The provider is a neuropathologist is expert in the diagnosis of diseases of the nervous system and skeletal muscles and functions as a consultant primarily to neurologists and neurosurgeons. The neuropathologist is knowledgeable in the infirmities of humans as they affect the nervous and neuromuscular systems, be they degenerative, infectious, metabolic, immunologic, neoplastic, vascular or physical in nature. CHICAGO NEUROPATHOLOGY SERVICE NPI is 1619946993. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5 REVERE DR
SUITE 200
NORTHBROOK, IL
ZIP 60062-566
Phone: (847) 498-7512

The provider's authorized official is Jamie Jacobsohn .
The authorized official title is President and has the following contact phone number (847) 498-7512.

The enumeration date for this NPI number is 3/17/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ZN0500XPathologyNeuropathologyILLINOISYes
2207ZP0102XPathologyAnatomic Pathology & Clinical PathologyILLINOISX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101623068OTHERILLINOISBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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