Neurocenter S C is a Specialist in Chicago, Illinois. Neurocenter S C practices all healthcare services and medical treatments related to Specialist. The NPI Number for Neurocenter S C is 1295950517. The last update date is 2010-11-24.
Neurocenter S C's current location address is 5015 N Paulina St, Chicago, Illinois. You can contact this provider via phone number 7737757540. The mailing address for Neurocenter S C is 5015 N Paulina St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Neurocenter S C |
|---|---|
| Address | 5015 N Paulina St, Chicago, Illinois |
| Phone Number | 7737757540 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO AND ME |
|---|---|
| Authorized Official Name | Medina L. Jose |
| Credentials | MD |
| Telephone Number | 7737757540 |
NPI Number Detail
| NPI Number | 1295950517 |
|---|---|
| Provider Enumeration Date | 2007-04-13 |
| Last Updated Date | 2010-11-24 |
Provider Mailing Address Detail
| Address | 5015 N Paulina St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606402756 |
| Phone Number | 7737757540 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 36048770 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36048770 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Neurocenter S C by the Centers for Medicare & Medicaid Services?
The Neurocenter S C has been assigned the NPI (National Provider Identifier) 1295950517. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Neurocenter S C is physically located?
The Neurocenter S C is physically situated at the following address: 5015 N Paulina St, Chicago, IL, 606402756.
What is Neurocenter S C's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Neurocenter S C is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
When did Neurocenter S C receive its 1295950517 assignment?
The Neurocenter S C was assigned its 1295950517 on 2007-04-13, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Neurocenter S C most recently updated or revised?
The information pertaining to Neurocenter S C, including its address, specialty, and other relevant details, was last updated or revised on 2010-11-24.
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