Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Great Lakes Neurosurgical Associates LLC

Organization Neurological Surgery Physician · NPI 1578743019

Great Lakes Neurosurgical Associates LLC is a Neurological Surgery Physician in Kenosha, Wisconsin. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10400 75th St
Kenosha, WI 53142-7884
Phone: (262) 948-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X

Record details

NPI number1578743019
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGreat Lakes Neurosurgical Associates LLC
Authorized official Yashdip Pannu — Owner · (414) 385-8702
NPI enumeratedNovember 13, 2007
Last updated in NPPESMay 17, 2013
Mailing addressPo Box 241393, Milwaukee, WI 53224-9032

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