| Midwest Neurological Associates Ltd. | |
|
1513 Essington Rd Joliet IL 60435-4912 | |
| (815) 730-1200 | |
| (815) 730-1066 |
| Full Name | Midwest Neurological Associates Ltd. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1513 Essington Rd, Joliet, Illinois |
| Authorized Official Name and Position | Grazyna Piekos (OWNER) |
| Authorized Official Contact | 8157301200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Neurological Associates Ltd. 1513 Essington Rd Joliet IL 60435-4912 Ph: (815) 730-1200 | Midwest Neurological Associates Ltd. 1513 Essington Rd Joliet IL 60435-4912 Ph: (815) 730-1200 |
| NPI Number | 1932224946 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 10/03/2008 |
| Medicare PECOS PAC ID | 8921070988 |
|---|---|
| Medicare Enrollment ID | O20040810000869 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932224946 | NPI | - | NPPES |
| 036090242 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 03609242IL (Illinois) | Primary |
| 261QM2500X | Clinic/center - Medical Specialty | (Illinois) | Secondary |
| Provider Name | Grazyna Piekos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780605899 PECOS PAC ID: 7911979984 Enrollment ID: I20040812000015 |
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