LAKE COUNTY NEUROLOGICAL ASSOCIATES LTD NPI 1639163686

NPI Information

  • NPI: 1639163686
  • Provider Name: LAKE COUNTY NEUROLOGICAL ASSOCIATES LTD
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Address: 1616 GRAND AVE
    SUITE # 103
    WAUKEGAN, IL
    ZIP 60085
  • Phone: (847) 249-3100

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NPI Details

LAKE COUNTY NEUROLOGICAL ASSOCIATES LTD is a neurology psychiatry neurology in Waukegan, 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. LAKE COUNTY NEUROLOGICAL ASSOCIATES LTD NPI is 1639163686. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1616 GRAND AVE
SUITE # 103
WAUKEGAN, IL
ZIP 60085-600
Phone: (847) 249-3100
Fax: (847) 249-3199

The provider's authorized official is Peesoolal Chhabria .
The authorized official title is President and has the following contact phone number (847) 249-3100.

The enumeration date for this NPI number is 9/6/2005 and was last updated on 12/9/2021.

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
12084N0400XPsychiatry & NeurologyNeurology036052849ILLINOISYes

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
1036052849MEDICAIDILLINOIS

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: 3/30/2025

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