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TRI-CITY NEUROLOGY SC NPI 1174502611


NPI Information

NPI: 1174502611
Provider Name: TRI-CITY NEUROLOGY SC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
2210 DEAN ST STE D
ST CHARLES, IL
ZIP 60175
Phone: (630) 587-2068
Get Directions

TRI-CITY NEUROLOGY SC is a neurology psychiatry neurology in St Charles, 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. TRI-CITY NEUROLOGY SC NPI is 1174502611. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2210 DEAN ST STE D
ST CHARLES, IL
ZIP 60175-059
Phone: (630) 587-2068
Fax: (630) 587-2081

The provider's authorized official is Nicholas L Schlageter .
The authorized official title is President and has the following contact phone number (630) 587-2068.

The enumeration date for this NPI number is 1/12/2006 and was last updated on 1/23/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K14614OTHERMEDICARE
2A76233MEDICARE UPIN
3210939MEDICARE ID-TYPE UNSPECIFIED
4130017803OTHERRAILROAD MEDICARE
55338653OTHERAETNA
64522081OTHERILLINOISBCBS
7163660582166OTHERHUMANA
84740209004OTHERCIGNA
9036060880MEDICAIDILLINOIS

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: 4/28/2024

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