| Neurodiagnostic Services Ltd | |
|
2310 York St #2c Blue Island IL 60406-2411 | |
| (708) 388-4902 | |
| (708) 388-0043 |
| Full Name | Neurodiagnostic Services Ltd |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 2310 York St, Blue Island, Illinois |
| Authorized Official Name and Position | Anthony Stephens (OWNER) |
| Authorized Official Contact | 7083884902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurodiagnostic Services Ltd 777 Oakmont Ln Suite 1600 Westmont IL 60559-5511 Ph: (630) 789-2550 | Neurodiagnostic Services Ltd 2310 York St #2c Blue Island IL 60406-2411 Ph: (708) 388-4902 |
| NPI Number | 1528079977 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 07/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528079977 | NPI | - | NPPES |
| 031603006 | Other | IL | BCBS PROVIDER ID |
| CL0157 | Other | IL | RAIL ROAD MEDICARE |
| 131781400 | Other | IL | ACS HEALTHNET |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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