Midwest Consultants For Cognitive Medicine, Llc | |
310 S Greenleaf St Ste 205 Gurnee IL 60031-5708 | |
(847) 282-4421 | |
Not Available |
Full Name | Midwest Consultants For Cognitive Medicine, Llc |
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Speciality | Clinical Neuropsychologist |
Location | 310 S Greenleaf St Ste 205, Gurnee, Illinois |
Authorized Official Name and Position | Tracy Freeze (PRACTICE CONSULTANT) |
Authorized Official Contact | 2199268320 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Midwest Consultants For Cognitive Medicine, Llc Po Box 2257 Chesterton IN 46304-0357 Ph: (219) 926-8320 | Midwest Consultants For Cognitive Medicine, Llc 310 S Greenleaf St Ste 205 Gurnee IL 60031-5708 Ph: (847) 282-4421 |
NPI Number | 1174837017 |
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Provider Enumeration Date | 08/03/2010 |
Last Update Date | 04/21/2015 |
Identifier | Type | State | Issuer |
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1174837017 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | 071007105 (Illinois) | Primary |
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