Organization · Type 2 NPI

Ganesha Institute of Neurology and Psychiatry SC

Neurology Physician · Libertyville, IL

NPI number 1629478599 Active

Practice location

1860 W Winchester Rd Ste 106
Libertyville, IL 60048-5312

Call (847) 816-6335 Map

Fax (847) 816-6355

Other practice locations

1850 W Winchester Rd Ste 105, Libertyville, IL 60048-5357 · (847) 816-6335

Specialties and licenses

Taxonomy	Code	License
Psychologist	103T00000X	None listed
Clinical Social Worker	1041C0700X	None listed
Neurology Physician Primary	2084N0400X	None listed
Psychiatry Physician	2084P0800X	None listed
Physician Assistant	363A00000X	None listed
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	None listed

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

17 other providers at this address

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NPI record

NPI: 1629478599
Entity type: Organization (Type 2)
Issued: Aug 28, 2014
Last updated: Jan 17, 2025
Status: Active

Other names

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A Ray of Hope: the Great Lakes Institute of Neurology and Psychiatry · doing business as
A Ray of Hope: the Great Lakes Institute of Neurology and Psychiatry · doing business as

Authorized official

Lori A Smith
Practice Manager
(847) 816-6441

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1629478599

Ganesha Institute of Neurology and Psychiatry SC's National Provider Identifier is 1629478599, issued on Aug 28, 2014. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Libertyville, IL. The record was last updated on Jan 17, 2025.