Clinical Neurology And Neurodiagnostic Center | |
9000 Waukegan Rd Suite 130 Morton Grove IL 60053-2127 | |
(847) 583-0184 | |
(847) 470-8753 |
Full Name | Clinical Neurology And Neurodiagnostic Center |
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Speciality | Psychiatry & Neurology |
Location | 9000 Waukegan Rd, Morton Grove, Illinois |
Authorized Official Name and Position | Igor Rechitsky (PRESIDENT) |
Authorized Official Contact | 8475830184 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Clinical Neurology And Neurodiagnostic Center 2547 Campden Ln Northbrook IL 60062-8108 Ph: (847) 337-7850 | Clinical Neurology And Neurodiagnostic Center 9000 Waukegan Rd Suite 130 Morton Grove IL 60053-2127 Ph: (847) 583-0184 |
NPI Number | 1912233263 |
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Provider Enumeration Date | 10/21/2009 |
Last Update Date | 10/21/2009 |
Medicare PECOS PAC ID | 3971640632 |
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Medicare Enrollment ID | O20091028000806 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912233263 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 036086893 (Illinois) | Primary |
Provider Name | Igor Rechitsky |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1528014065 PECOS PAC ID: 5890832554 Enrollment ID: I20091028000795 |
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