1699985382 NPI number — NORTHWESTERN NEUROSURGICAL ASSOCIATES., S.C.

Table of content: ASAD A. SHEIKH M.D. (NPI 1760573356)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699985382 NPI number — NORTHWESTERN NEUROSURGICAL ASSOCIATES., S.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTHWESTERN NEUROSURGICAL ASSOCIATES., S.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1699985382
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/10/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
75 REMITTANCE DR
Provider Second Line Business Mailing Address:
SUITE 1244
Provider Business Mailing Address City Name:
CHICAGO
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60675-1244
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
773-594-0200
Provider Business Mailing Address Fax Number:
773-594-9083

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7447 W TALCOTT AVE
Provider Second Line Business Practice Location Address:
SUITE 340
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60631-3745
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
773-594-0200
Provider Business Practice Location Address Fax Number:
773-594-9083
Provider Enumeration Date:
05/23/2007

Additional Information

Authorized Official

Authorized Official Last Name:
GUTIERREZ
Authorized Official First Name:
FRANCISCO
Authorized Official Middle Name:
A.
Authorized Official Title or Position:
NEUROSURGEON
Authorized Official Telephone Number:
773-594-0200

Provider Taxonomy Codes

  • Taxonomy code: 174400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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