Advanced Neurological Associates Sc

NPI 1003015074 - Specialist - 174400000X

NPI Details
NPI 1003015074
Enumeration Date 07/11/2007
Last Updated 04/17/2015
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARY MARY
Position OWNER
Phone (847) 716-1302
Fax (847) 716-1312
Practice Location
191 WAUKEGAN RD
SUITE 120
NORTHFIELD IL, 60093-2756, US
Phone (847) 716-1302
Fax (847) 716-1312
Business Location
191 WAUKEGAN RD
SUITE 120
NORTHFIELD IL, 60093-2756, US
Phone (847) 716-1302
Fax (847) 716-1312
Toxanomy
Taxonomy Code 174400000X
License State Illinois
License Number 036-088382
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According to our database, Advanced Neurological Associates Sc NPI is 1003015074, taxonomy code is 174400000X and license number is 036-088382, license state is located at Illinois. Advanced Neurological Associates Sc physically located at 191 Waukegan Rd, Northfield IL, 60093-2756. NPI Number 1033115704 has the healthcare provider type.

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1003015074 NPI number is provided on an as is basis without warranty of any kind. 1003015074 is maintained by the National Plan & Provider Enumeration System. The contents of Advanced Neurological Associates Sc are for informational purposes only.