NEUROMED CLINIC LLC NPI 1316982846

NPI Information

  • NPI: 1316982846
  • Provider Name: NEUROMED CLINIC LLC
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Address: 3S517 WINFIELD RD
    STE A
    WARRENVILLE, IL
    ZIP 60555
  • Phone: (630) 836-9121

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NPI Details

NEUROMED CLINIC LLC is a neurology psychiatry neurology in Warrenville, IL. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. NEUROMED CLINIC LLC NPI is 1316982846. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3S517 WINFIELD RD
STE A
WARRENVILLE, IL
ZIP 60555-159
Phone: (630) 836-9121

The provider's authorized official is Mary L Banks .
The authorized official title is Director Patient Services and has the following contact phone number (630) 836-9121.

The enumeration date for this NPI number is 6/18/2006 and was last updated on 9/15/2009.

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
1207LC0200XAnesthesiologyCritical Care MedicineNo
22084N0400XPsychiatry & NeurologyNeurology036075202ILLINOISNo
32084N0400XPsychiatry & NeurologyNeurology036093821ILLINOISNo
42084N0400XPsychiatry & NeurologyNeurology036095842ILLINOISNo
52084N0600XPsychiatry & NeurologyClinical Neurophysiology036121731ILLINOISNo
62084N0600XPsychiatry & NeurologyClinical Neurophysiology036111136ILLINOISNo
72084P0800XPsychiatry & NeurologyPsychiatry036107234ILLINOISNo
82084V0102XPsychiatry & NeurologyVascular Neurology036075202ILLINOISNo
92084V0102XPsychiatry & NeurologyVascular Neurology036093821ILLINOISNo
102084N0400XPsychiatry & NeurologyNeurology036111136ILLINOISYes

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
1CD3784OTHERILLINOISGROUP RAILROAD MEDICARE
2209652MEDICARE ID-TYPE UNSPECIFIEDILLINOISGROUP MEDICARE
3036107234MEDICAIDILLINOIS
4036075202MEDICAIDILLINOIS
5220232500OTHERILLINOISDOL
6209006135MEDICAIDILLINOIS
7036111136MEDICAIDILLINOIS
82232580OTHERILLINOISBCBS
9036121731MEDICAIDILLINOIS
10036093821MEDICAIDILLINOIS
111316982846MEDICAIDILLINOIS

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: 11/21/2025

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