| Cns | |
|
1n141 County Farm Rd Suite 130 Winfield IL 60190-2032 | |
| (630) 690-3333 | |
| (630) 690-3663 |
| Full Name | Cns |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1n141 County Farm Rd, Winfield, Illinois |
| Authorized Official Name and Position | Fred Zachary Nour (PRESIDENT) |
| Authorized Official Contact | 6306903333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cns 1n141 County Farm Rd Suite 130 Winfield IL 60190-2032 Ph: (630) 690-3333 | Cns 1n141 County Farm Rd Suite 130 Winfield IL 60190-2032 Ph: (630) 690-3333 |
| NPI Number | 1942312962 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 09/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942312962 | NPI | - | NPPES |
| 036-065960 | Medicaid | IL | |
| 2201682 | Other | IL | BLUE CROSS NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 036-065960 (Illinois) | Primary |
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