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SPINE & NERVE TESTING CENTER NPI 1114143088


NPI Information

NPI: 1114143088
Provider Name: SPINE & NERVE TESTING CENTER
Classification: Specialist/Technologist, Other - 246ZE0600X
Entity Type: Organization

Specialization: Electroneurodiagnostic

Address:
2634 GRAND AVE
SUITE #101
WAUKEGAN, IL
ZIP 60085
Phone: (847) 775-7979
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SPINE & NERVE TESTING CENTER is an electroneurodiagnostic specialist technologist other in Waukegan, IL. SPINE & NERVE TESTING CENTER NPI is 1114143088. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2634 GRAND AVE
SUITE #101
WAUKEGAN, IL
ZIP 60085-458
Phone: (847) 775-7979
Fax: (847) 775-7975

The provider's authorized official is Michelle M. Herrera .
The authorized official title is Office Administrator and has the following contact phone number (847) 775-7979.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 8/22/2020.


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
1246ZE0600XSpecialist/Technologist, OtherElectroneurodiagnosticYes

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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