| Midwest Neurology, Ltd. | |
|
181 S Lincolnway North Aurora IL 60542-1609 | |
| (630) 906-9470 | |
| (630) 906-9467 |
| Full Name | Midwest Neurology, Ltd. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 181 S Lincolnway, North Aurora, Illinois |
| Authorized Official Name and Position | Andrew D Ta (PRESIDENT) |
| Authorized Official Contact | 6309069470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Neurology, Ltd. 181 S Lincolnway North Aurora IL 60542-1609 Ph: (630) 906-9470 | Midwest Neurology, Ltd. 181 S Lincolnway North Aurora IL 60542-1609 Ph: (630) 906-9470 |
| NPI Number | 1811048036 |
|---|---|
| Provider Enumeration Date | 01/15/2007 |
| Last Update Date | 03/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811048036 | NPI | - | NPPES |
| 4522088 | Other | IL | BLUECROSS BLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 036-074755 (Illinois) | Primary |
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