| Northwest Neurology, Ltd | |
|
22285 N Pepper Rd Suite 401 Lake Barrington IL 60010-2538 | |
| (847) 882-6604 | |
| (847) 882-6228 |
| Full Name | Northwest Neurology, Ltd |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 22285 N Pepper Rd, Lake Barrington, Illinois |
| Authorized Official Name and Position | Sanford Sherman (PRESIDENT) |
| Authorized Official Contact | 8478826604 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Neurology, Ltd 22285 N Pepper Rd Suite 401 Lake Barrington IL 60010-2538 Ph: (847) 882-6604 | Northwest Neurology, Ltd 22285 N Pepper Rd Suite 401 Lake Barrington IL 60010-2538 Ph: (847) 882-6604 |
| NPI Number | 1427094077 |
|---|---|
| Provider Enumeration Date | 06/21/2006 |
| Last Update Date | 06/22/2015 |
| Medicare PECOS PAC ID | 8729069158 |
|---|---|
| Medicare Enrollment ID | O20040601000222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427094077 | NPI | - | NPPES |
| 698600 | Other | IL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 042005757 (Illinois) | Primary |
| Provider Name | George Katsamakis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174502835 PECOS PAC ID: 8426947342 Enrollment ID: I20040310001406 |
| Provider Name | Ketki C Modi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1477502326 PECOS PAC ID: 6204818263 Enrollment ID: I20040603000387 |
| Provider Name | Andrew J Gordon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508898206 PECOS PAC ID: 6709860745 Enrollment ID: I20040727000931 |
| Provider Name | Donald T Kuhlman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710902424 PECOS PAC ID: 7618958042 Enrollment ID: I20040805000273 |
| Provider Name | Daniele M Anderson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588689285 PECOS PAC ID: 3274504899 Enrollment ID: I20040805000357 |
| Provider Name | Barry H Bikshorn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275577124 PECOS PAC ID: 0345221776 Enrollment ID: I20040805000407 |
| Provider Name | Sanford S Sherman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427092485 PECOS PAC ID: 3072594407 Enrollment ID: I20040805000499 |
| Provider Name | David B Rosania |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1346281888 PECOS PAC ID: 5890744189 Enrollment ID: I20050113000342 |
| Provider Name | Lisa R Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316980766 PECOS PAC ID: 5890707723 Enrollment ID: I20060615000057 |
| Provider Name | Samina Bokhari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801830021 PECOS PAC ID: 0749293173 Enrollment ID: I20060801000161 |
| Provider Name | Min Kyung Kim |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1003914771 PECOS PAC ID: 8921004755 Enrollment ID: I20061018000292 |
| Provider Name | Malgorzata K Bach |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801852322 PECOS PAC ID: 5193721819 Enrollment ID: I20061019000396 |
| Provider Name | Aslam H Khaja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003014457 PECOS PAC ID: 5799872669 Enrollment ID: I20071025000106 |
| Provider Name | Ahmir H Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851575039 PECOS PAC ID: 8729132675 Enrollment ID: I20090812000517 |
| Provider Name | Karim Rizkallah Nahra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982744405 PECOS PAC ID: 0244477339 Enrollment ID: I20130509000115 |
| Provider Name | Susan E. Mcmillan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487099644 PECOS PAC ID: 5395984033 Enrollment ID: I20130610000581 |
| Provider Name | Melissa J Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649619768 PECOS PAC ID: 3779713540 Enrollment ID: I20140224001675 |
| Provider Name | Manisha Sahay |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629301890 PECOS PAC ID: 7012134356 Enrollment ID: I20140811002260 |
| Provider Name | Jordan S Samuels |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306074364 PECOS PAC ID: 8921229527 Enrollment ID: I20141023002595 |
| Provider Name | Holly Wolford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659770998 PECOS PAC ID: 7214259092 Enrollment ID: I20141205000644 |
| Provider Name | Erin M Mcgonigle |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1740575828 PECOS PAC ID: 2567688872 Enrollment ID: I20150720003172 |
| Provider Name | Elizabeth C Flaherty |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881907699 PECOS PAC ID: 9335453760 Enrollment ID: I20150729009982 |
| Provider Name | Mark N Rubin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104055169 PECOS PAC ID: 9931394491 Enrollment ID: I20150812007830 |
| Provider Name | Jennifer Lyn Cote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609235381 PECOS PAC ID: 0446556153 Enrollment ID: I20160307001280 |
| Provider Name | Anna Sorokin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881861342 PECOS PAC ID: 8527201623 Enrollment ID: I20160607002225 |
| Provider Name | Megan E Baldassarre |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710332754 PECOS PAC ID: 4981995651 Enrollment ID: I20160628001029 |
| Provider Name | Ameer Alwafai |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1255644779 PECOS PAC ID: 6901190362 Enrollment ID: I20160808000829 |
| Provider Name | Rumyana Krouleva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295274165 PECOS PAC ID: 9436436060 Enrollment ID: I20170508001218 |
| Provider Name | Yumna Saeed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982970463 PECOS PAC ID: 1557660289 Enrollment ID: I20170816004204 |
| Provider Name | Ahmer Ali |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275825978 PECOS PAC ID: 4183926744 Enrollment ID: I20170822002114 |
| Provider Name | Stephen A Trevick |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861634776 PECOS PAC ID: 0941442370 Enrollment ID: I20170928001031 |
| Provider Name | Kelly A Schaeffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689192676 PECOS PAC ID: 0941575500 Enrollment ID: I20171006001669 |
| Provider Name | Melissa L Budahazy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851818462 PECOS PAC ID: 1951669084 Enrollment ID: I20171219003051 |
| Provider Name | Andrea T Dellaria |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982036182 PECOS PAC ID: 9335442201 Enrollment ID: I20180705000126 |
| Provider Name | Zara M Schulman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1730508318 PECOS PAC ID: 9739465139 Enrollment ID: I20180709000054 |
| Provider Name | Janina M Kamm |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578089892 PECOS PAC ID: 8123394533 Enrollment ID: I20180830001029 |
| Provider Name | Joel L Ceralde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770074486 PECOS PAC ID: 7810237641 Enrollment ID: I20190314000556 |
| Provider Name | Julie Conforti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538625983 PECOS PAC ID: 8224371067 Enrollment ID: I20190520001660 |
| Provider Name | Akash Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235557927 PECOS PAC ID: 9032430939 Enrollment ID: I20190814000359 |
| Provider Name | Syema I Sheikh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114360005 PECOS PAC ID: 6002119823 Enrollment ID: I20190930002397 |
| Provider Name | Danielle Hellios |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972273373 PECOS PAC ID: 6406245059 Enrollment ID: I20211119001548 |
| Provider Name | Helen M Donnelly-owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811447923 PECOS PAC ID: 6305223652 Enrollment ID: I20220506001692 |
Lake Barrington Professional Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5067 Shoreline Rd, Lake Barrington, IL 60010 Phone: 847-842-0012 Fax: 847-842-0013 | |
Clear Cognition Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 22285 N Pepper Rd Ste 401, Lake Barrington, IL 60010 Phone: 847-786-5366 | |
Northwest Neurology, Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 22285 Pepper Rd, #401, Lake Barrington, IL 60010 Phone: 847-882-6604 Fax: 847-882-6228 |