Neurolab Neurodiagnostic Services, Sc in Libertyville - Neurology
Neurolab Neurodiagnostic Services, Sc - NPI 1225175219
Neurolab Neurodiagnostic Services, Sc is a Neurology in Libertyville, Illinois. Neurolab Neurodiagnostic Services, Sc practices all healthcare services and medical treatments related to Neurology. The NPI Number for Neurolab Neurodiagnostic Services, Sc is 1225175219. The last update date is 2015-04-30.
Neurolab Neurodiagnostic Services, Sc's current location address is Po Box 178, Libertyville, Illinois. You can contact this provider via phone number 8474777678 and fax number 8475731944. The mailing address for Neurolab Neurodiagnostic Services, Sc is Po Box 178, Libertyville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Neurolab Neurodiagnostic Services, Sc |
|---|---|
| Address | Po Box 178, Libertyville, Illinois |
| Phone Number | 8474777678 |
| Fax Number | 8475731944 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Thurston D Gregory |
| Credentials | DC, DIBCN |
| Telephone Number | 8474777678 |
NPI Number Detail
| NPI Number | 1225175219 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2015-04-30 |
Provider Mailing Address Detail
| Address | Po Box 178 |
|---|---|
| City | Libertyville |
| State | Illinois (IL) |
| Post Code | 600480178 |
| Phone Number | 8474777678 |
| Fax Number | 8475731944 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 111Nn0400X |
| Licence No | 038-005346 |
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Definition: Chiropractic Neurology is defined as the field of functional neurology that engages the internal - and external environment of the individual in a structured and targeted approach to affect positive changes in the nervous system and consequently the |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4932633 | IL | BC/BS OF IL |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Neurolab Neurodiagnostic Services, Sc by the Centers for Medicare & Medicaid Services?
The Neurolab Neurodiagnostic Services, Sc has been issued the NPI (National Provider Identifier) 1225175219 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Neurolab Neurodiagnostic Services, Sc is located?
The Neurolab Neurodiagnostic Services, Sc is situated at the following address: Po Box 178, Libertyville, IL, 600480178.
What is Neurolab Neurodiagnostic Services, Sc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Neurolab Neurodiagnostic Services, Sc's area of specialization is Neurology, and the corresponding taxonomy code that categorizes this field of practice is 111Nn0400X.
On what date did the Neurolab Neurodiagnostic Services, Sc receive the assignment of its 1225175219 from the Centers for Medicare & Medicaid Services?
The Neurolab Neurodiagnostic Services, Sc was issued its 1225175219 by the Centers for Medicare & Medicaid Services on 2007-01-31.
As of what date was the information pertaining to Neurolab Neurodiagnostic Services, Sc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Neurolab Neurodiagnostic Services, Sc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-04-30.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY