OrganizationActive
Community Neurologic Center Sc
NPI 1487852679 · Clinic/Center · Geneva, IL
Provider details
- NPI number
- 1487852679
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Boris Lake, Business Manager(630) 208-7735
- License
- 036-093008 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2172 Blackberry Dr
Suite 202
Geneva, IL 60134-1073
Phone: (630) 208-7735
Fax: (630) 208-6956
Approximate (ZIP-level) locationGet directions
Mailing address
2172 Blackberry Dr
Geneva, IL 60134-1073
Registry dates
- Enumerated
- 2007-07-10
- Last updated
- 2012-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.