Healthcare Provider Details
I. General information
NPI: 1730326323
Provider Name (Legal Business Name): CHICAGO NEUROLOGICAL SERVICES, LTD
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/19/2009
Last Update Date: 02/11/2026
Certification Date: 02/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7319 NORTH AVE
RIVER FOREST IL
60305-1220
US
IV. Provider business mailing address
7319 NORTH AVE
RIVER FOREST IL
60305-1220
US
V. Phone/Fax
- Phone: 708-665-7000
- Fax:
- Phone: 708-665-7000
- Fax: 708-660-6901
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
LENNY
COHEN
Title or Position: PRESIDENT
Credential: MD
Phone: 708-665-7000