Neuromonitoring Service Llc

NPI 1467583955 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1467583955
Enumeration Date 03/08/2007
Last Updated 03/19/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name PANNA PANNA
Position OWNER
Phone (309) 454-1100
Fax
Practice Location
1604 VISA DR STE 1
NORMAL IL, 61761-2195, US
Phone (309) 454-1100
Fax
Business Location
1604 VISA DR STE 1
NORMAL IL, 61761-2195, US
Phone (309) 454-1100
Fax (309) 454-1107
Toxanomy
Taxonomy Code 208100000X
License State Illinois
License Number 036-061013
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According to our database, Neuromonitoring Service Llc NPI is 1467583955, taxonomy code is 208100000X and license number is 036-061013, license state is located at Illinois. Neuromonitoring Service Llc physically located at 1604 Visa Dr Ste 1, Normal IL, 61761-2195. NPI Number 1033115704 has the healthcare provider type.

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1467583955 NPI number is provided on an as is basis without warranty of any kind. 1467583955 is maintained by the National Plan & Provider Enumeration System. The contents of Neuromonitoring Service Llc are for informational purposes only.