Healthcare Provider Details
I. General information
NPI: 1982723482
Provider Name (Legal Business Name): NEUROLOGICAL CONSULTANTS GROUP LTD
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/28/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
17W434 ROOSEVELT RD
OAKBROOK TERRACE IL
60181-3510
US
IV. Provider business mailing address
816 E WILSON AVE
LOMBARD IL
60148-4047
US
V. Phone/Fax
- Phone: 630-776-5027
- Fax:
- Phone: 630-776-5027
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084N0600X |
| Taxonomy | Clinical Neurophysiology Physician |
| License Number | 36-100801 |
| License Number State | IL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 204C00000X |
| Taxonomy | Sports Medicine (Neuromusculoskeletal Medicine) Physician |
| License Number | |
| License Number State | IL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084S0012X |
| Taxonomy | Sleep Medicine (Psychiatry & Neurology) Physician |
| License Number | |
| License Number State | IL |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P2900X |
| Taxonomy | Pain Medicine (Psychiatry & Neurology) Physician |
| License Number | |
| License Number State | IL |
VIII. Authorized Official
Name:
SYED
NAVEED
Title or Position: DIRECTOR
Credential: M.D.
Phone: 630-776-5027