| NPI Details | |
|---|---|
| NPI | 1467583955 |
| Enumeration Date | 03/08/2007 |
| Last Updated | 03/19/2009 |
| Entity Type | Healthcare Provider |
| Active | Over 11 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 |
| Remove 1467583955 NPI Number | |
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.
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