OrganizationActive
Advanced Neuroscience Innovation Institute LLC
NPI 1801339858 · Neurological Surgery Physician · Rockford, IL
Provider details
- NPI number
- 1801339858
- Entity type
- Organization
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Akram Shhadeh, President/Owner(973) 901-5457
- License
- 036141087 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5666 E State St
Rockford, IL 61108-2425
Phone: (815) 395-5261
Fax: (815) 381-7581
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 639
Thiensville, WI 53092-0639
Registry dates
- Enumerated
- 2016-11-23
- Last updated
- 2016-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.