University Neurology Associates, Pc

NPI 1417191255 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1417191255
Enumeration Date 04/23/2009
Last Updated 04/23/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name MING TAO MING
Position PRESIDENT
Phone (217) 403-1840
Fax (217) 403-1844
Practice Location
407 E UNIVERSITY AVE
CHAMPAIGN IL, 61820-3865, US
Phone (217) 403-1840
Fax (217) 403-1844
Business Location
2905 WENDOVER PL
CHAMPAIGN IL, 61822-6186, US
Phone (217) 403-1840
Fax (217) 403-1844
Toxanomy
Taxonomy Code 2084N0400X
License State Illinois
License Number 036106997
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According to our database, University Neurology Associates, Pc NPI is 1417191255, taxonomy code is 2084N0400X and license number is 036106997, license state is located at Illinois. University Neurology Associates, Pc physically located at 407 E University Ave, Champaign IL, 61820-3865. NPI Number 1033115704 has the healthcare provider type.

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1417191255 NPI number is provided on an as is basis without warranty of any kind. 1417191255 is maintained by the National Plan & Provider Enumeration System. The contents of University Neurology Associates, Pc are for informational purposes only.