Jesse E. Taber in Crystal Lake - Clinical Neurophysiology
Jesse E. Taber - NPI 1932268570
Jesse E. Taber is a Clinical Neurophysiology in Crystal Lake, Illinois. Jesse E. Taber practices all healthcare services and medical treatments related to Clinical Neurophysiology. The NPI Number for Jesse E. Taber is 1932268570. The last update date is 2020-04-20.
Jesse E. Taber's current location address is 360 Station Dr Ste 300, Crystal Lake, Illinois. You can contact this provider via phone number 8154551800 and fax number 8154551875. The mailing address for Jesse E. Taber is 360 Station Dr Ste 300, Crystal Lake, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jesse E. Taber |
|---|---|
| Address | 360 Station Dr Ste 300, Crystal Lake, Illinois |
| Phone Number | 8154551800 |
| Fax Number | 8154551875 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1932268570 |
|---|---|
| Provider Enumeration Date | 2006-12-08 |
| Last Updated Date | 2020-04-20 |
Provider Mailing Address Detail
| Address | 360 Station Dr Ste 300 |
|---|---|
| City | Crystal Lake |
| State | Illinois (IL) |
| Post Code | 600148003 |
| Phone Number | 8154551800 |
| Fax Number | 8154551875 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neurophysiology |
|---|---|
| Taxonomy | 2084N0600X |
| Licence No | 36075056 |
|
Definition: Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such |
|
Post Comment/ Review Below
What is the Jesse E. Taber's unique identification number?
The Jesse E. Taber has been assigned the NPI (National Provider Identifier) Number 1932268570 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Jesse E. Taber?
The Jesse E. Taber is situated at 360 Station Dr Ste 300, in the city of Crystal Lake, state of IL, with the zip code 600148003.
What is the area of specialization for Jesse E. Taber, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jesse E. Taber is Clinical Neurophysiology, and the corresponding taxonomy code that categorizes this area of expertise is 2084N0600X.
On what date was the 1932268570 assigned to Jesse E. Taber?
The Jesse E. Taber was issued its 1932268570 on 2006-12-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Jesse E. Taber's details last updated?
The information pertaining to the Jesse E. Taber, including its address, specialty, and other details, was most recently updated on 2020-04-20.