Libertyville Neurosurgery, Llc in Libertyville - Neurological Surgery
Libertyville Neurosurgery, Llc - NPI 1912170523
Libertyville Neurosurgery, Llc is a Neurological Surgery in Libertyville, Illinois. Libertyville Neurosurgery, Llc practices all healthcare services and medical treatments related to Neurological Surgery. The NPI Number for Libertyville Neurosurgery, Llc is 1912170523. The last update date is 2012-02-06.
Libertyville Neurosurgery, Llc's current location address is 712 S Milwaukee Ave, Libertyville, Illinois. You can contact this provider via phone number 8473621848 and fax number 8473623351. The mailing address for Libertyville Neurosurgery, Llc is 712 S Milwaukee Ave, Libertyville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Libertyville Neurosurgery, Llc |
|---|---|
| Address | 712 S Milwaukee Ave, Libertyville, Illinois |
| Phone Number | 8473621848 |
| Fax Number | 8473623351 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Citow S Jonathan |
| Telephone Number | 8473621848 |
NPI Number Detail
| NPI Number | 1912170523 |
|---|---|
| Provider Enumeration Date | 2008-04-04 |
| Last Updated Date | 2012-02-06 |
Provider Mailing Address Detail
| Address | 712 S Milwaukee Ave |
|---|---|
| City | Libertyville |
| State | Illinois (IL) |
| Post Code | 600483279 |
| Phone Number | 8473621848 |
| Fax Number | 8473623351 |
Provider's Primary Taxonomy Detail
| Speciality | Neurological Surgery |
|---|---|
| Taxonomy | 207T00000X |
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Definition: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36066065 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Libertyville Neurosurgery, Llc?
The Libertyville Neurosurgery, Llc has been issued the NPI (National Provider Identifier) 1912170523 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Libertyville Neurosurgery, Llc located?
The Libertyville Neurosurgery, Llc is located at 712 S Milwaukee Ave, Libertyville, IL 600483279.
What is the Libertyville Neurosurgery, Llc's specialty and taxonomy code?
The Libertyville Neurosurgery, Llc's specialty is Neurological Surgery, and the corresponding taxonomy code is 207T00000X.
On what date did the Libertyville Neurosurgery, Llc receive the assignment of its 1912170523 from the Centers for Medicare & Medicaid Services?
The Libertyville Neurosurgery, Llc was issued its 1912170523 by the Centers for Medicare & Medicaid Services on 2008-04-04.
When was the Libertyville Neurosurgery, Llc's information last updated?
The Libertyville Neurosurgery, Llc's information was last updated on 2012-02-06.