| Diagnostic Neurology, Ltd | |
|
444 N Northwest Hwy Ste 200 Park Ridge IL 60068-3263 | |
| (847) 825-2366 | |
| (847) 825-2513 |
| Full Name | Diagnostic Neurology, Ltd |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 444 N Northwest Hwy, Park Ridge, Illinois |
| Authorized Official Name and Position | Jules T Koveleski (PRESIDENT) |
| Authorized Official Contact | 8478252366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diagnostic Neurology, Ltd Po Box 388320 Chicago IL 60638-8320 Ph: (773) 767-8283 | Diagnostic Neurology, Ltd 444 N Northwest Hwy Ste 200 Park Ridge IL 60068-3263 Ph: (847) 825-2366 |
| NPI Number | 1164475737 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164475737 | NPI | - | NPPES |
| 01615936 | Other | IL | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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