Provider Demographics
NPI:1467495705
Name:NEUROACCESS, INC.
Entity Type:Organization
Organization Name:NEUROACCESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEUROLOGIST PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PRADEEP
Authorized Official - Middle Name:
Authorized Official - Last Name:BHATIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-375-2925
Mailing Address - Street 1:2124 CANTERBURY LANE
Mailing Address - Street 2:
Mailing Address - City:LISLE
Mailing Address - State:IL
Mailing Address - Zip Code:60532-1171
Mailing Address - Country:US
Mailing Address - Phone:630-955-9010
Mailing Address - Fax:630-955-9422
Practice Address - Street 1:2020 OGDEN AVE
Practice Address - Street 2:STE 400
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-5898
Practice Address - Country:US
Practice Address - Phone:630-375-2925
Practice Address - Fax:630-375-2932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-14
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0360839802084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL210766Medicare PIN
F84986Medicare UPIN