| Advanced Neurobehavioral Diagnostics Inc | |
|
1365 Wiley Rd Ste 147 Schaumburg IL 60173-4357 | |
| (847) 636-7336 | |
| Not Available |
| Full Name | Advanced Neurobehavioral Diagnostics Inc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1365 Wiley Rd Ste 147, Schaumburg, Illinois |
| Authorized Official Name and Position | Dana Rosado (OWNER) |
| Authorized Official Contact | 8476367336 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Neurobehavioral Diagnostics Inc 1305 Wiley Rd Ste 147 Schaumburg IL 60173-4343 Ph: (847) 636-7336 | Advanced Neurobehavioral Diagnostics Inc 1365 Wiley Rd Ste 147 Schaumburg IL 60173-4357 Ph: (847) 636-7336 |
| NPI Number | 1780463513 |
|---|---|
| Provider Enumeration Date | 09/21/2023 |
| Last Update Date | 09/27/2023 |
| Certification Date | 09/27/2023 |
| Medicare PECOS PAC ID | 8628415155 |
|---|---|
| Medicare Enrollment ID | O20240320001456 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780463513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Dana L Rosado |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073007746 PECOS PAC ID: 3072862069 Enrollment ID: I20180824000893 |
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