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NEUROMED CLINIC LLC NPI 1043410772


NPI Information

NPI: 1043410772
Provider Name: NEUROMED CLINIC LLC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
25 N WINFIELD RD
STE 500
WINFIELD, IL
ZIP 60190
Phone: (630) 836-9121
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NEUROMED CLINIC LLC is a neurology psychiatry neurology in Winfield, IL. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. NEUROMED CLINIC LLC NPI is 1043410772. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

25 N WINFIELD RD
STE 500
WINFIELD, IL
ZIP 60190-222
Phone: (630) 836-9121
Fax: (630) 836-9126

The provider's authorized official is Mary L Banks .
The authorized official title is Director Physician & Patient Svcs and has the following contact phone number (630) 836-9121.

The enumeration date for this NPI number is 7/20/2007 and was last updated on 10/27/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207SG0201XMedical GeneticsClinical Genetics (M.D.)ILLINOISNo
22084N0400XPsychiatry & NeurologyNeurologyILLINOISNo
32084N0400XPsychiatry & NeurologyNeurologyILLINOISNo
42084N0400XPsychiatry & NeurologyNeurologyILLINOISNo
52084P0800XPsychiatry & NeurologyPsychiatryILLINOISNo
6363L00000XNurse PractitionerILLINOISNo
72084N0400XPsychiatry & NeurologyNeurologyILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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