Provider Demographics
NPI:1235564766
Name:ASSOCIATES IN NEUROSCIENCE, SC
Entity Type:Organization
Organization Name:ASSOCIATES IN NEUROSCIENCE, SC
Other - Org Name:ASSOCIATES IN PEDIATRIC NEUROLOGY, SC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:VIJAY
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-673-9399
Mailing Address - Street 1:16W300 83RD ST STE 100
Mailing Address - Street 2:
Mailing Address - City:BURR RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60527-5848
Mailing Address - Country:US
Mailing Address - Phone:630-230-3372
Mailing Address - Fax:630-568-5050
Practice Address - Street 1:16W300 83RD ST STE 100
Practice Address - Street 2:
Practice Address - City:BURR RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60527-5848
Practice Address - Country:US
Practice Address - Phone:630-230-3372
Practice Address - Fax:630-568-5050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-03
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180006074101YP2500X
2084N0400X
IL0360722992084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyGroup - Multi-Specialty