Healthcare Provider Details

I. General information

NPI: 1770524670
Provider Name (Legal Business Name): NEUROLOGICAL SURGERY AND SPINE SURGERY S C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 WESTBROOK CORPORATE CENTER STE 800
WESTCHESTER IL
60154-5703
US

IV. Provider business mailing address

1 WESTBROOK CORPORATE CTR STE 800
WESTCHESTER IL
60154-5701
US

V. Phone/Fax

Practice location:
  • Phone: 708-343-3566
  • Fax: 708-343-9235
Mailing address:
  • Phone: 708-343-3566
  • Fax: 708-223-1429

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number5553530001
License Number StateIL

VIII. Authorized Official

Name: DR. ANDREW STEPHEN ZELBY
Title or Position: PRESIDENT
Credential: MD
Phone: 708-343-3566