Provider Demographics
NPI:1891011326
Name:STEREOTACTIC RADIOSURGERY INSTITUTE SC
Entity Type:Organization
Organization Name:STEREOTACTIC RADIOSURGERY INSTITUTE SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TOMASZ
Authorized Official - Middle Name:K
Authorized Official - Last Name:HELENOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-249-3090
Mailing Address - Street 1:365 BATEMAN RD
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-7616
Mailing Address - Country:US
Mailing Address - Phone:847-249-3090
Mailing Address - Fax:224-365-4100
Practice Address - Street 1:95 N GREENLEAF ST
Practice Address - Street 2:
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-3309
Practice Address - Country:US
Practice Address - Phone:847-249-3090
Practice Address - Fax:224-365-4100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-08
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036066061207T00000X, 2085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Multi-Specialty
No2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1578554911OtherPARVATHY KURUP, MD - NPI
IL1275612178OtherTOMASZ HELENOWSKI, MD - NPI
IL1730160946OtherYASHBIR MEHTA, MD - NPI