Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Great Lakes Neurosurgical Associates LLC

Organization Neurological Surgery Physician · NPI 1578743019

Great Lakes Neurosurgical Associates LLC provides Neurological Surgery Physician services 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 Not confirmed with CMS for 13 years — call before visiting
Phone: (262) 948-7000
Show map & directions

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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