Definitive Neurodiagnostics, Llc Technical Services

NPI 1134519051 - Specialist/Technologist, Other - 246ZE0600X

NPI Details
NPI 1134519051
Enumeration Date 01/30/2015
Last Updated 01/30/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name JOHN JOHN
Position OWNER
Phone (309) 454-1100
Fax
Practice Location
1604 VISA DR # 1
NORMAL IL, 61761-2195, US
Phone (309) 454-1100
Fax
Business Location
1604 VISA DR # 1
NORMAL IL, 61761-2195, US
Phone
Fax
Toxanomy
Taxonomy Code 246ZE0600X
License State Illinois
License Number 036100906
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According to our database, Definitive Neurodiagnostics, Llc Technical Services NPI is 1134519051, taxonomy code is 246ZE0600X and license number is 036100906, license state is located at Illinois. Definitive Neurodiagnostics, Llc Technical Services physically located at 1604 Visa Dr # 1, Normal IL, 61761-2195. NPI Number 1033115704 has the healthcare provider type.

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1134519051 NPI number is provided on an as is basis without warranty of any kind. 1134519051 is maintained by the National Plan & Provider Enumeration System. The contents of Definitive Neurodiagnostics, Llc Technical Services are for informational purposes only.