Neurology And Neurodiagnostics, Ltd | |
1651 Forest Drive Glenview IL 60025-1674 | |
(847) 297-2112 | |
(847) 297-2112 |
Full Name | Neurology And Neurodiagnostics, Ltd |
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Speciality | Psychiatry & Neurology |
Location | 1651 Forest Drive, Glenview, Illinois |
Authorized Official Name and Position | Scott Alan Metrick (PRESIDENT) |
Authorized Official Contact | 8472972112 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Neurology And Neurodiagnostics, Ltd 1651 Forest Drive Glenview IL 60025-1674 Ph: (847) 297-2112 | Neurology And Neurodiagnostics, Ltd 1651 Forest Drive Glenview IL 60025-1674 Ph: (847) 297-2112 |
NPI Number | 1538364591 |
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Provider Enumeration Date | 06/19/2007 |
Last Update Date | 04/19/2017 |
Medicare PECOS PAC ID | 2668550476 |
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Medicare Enrollment ID | O20080418000573 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538364591 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | Scott Metrick |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1588614879 PECOS PAC ID: 9931287745 Enrollment ID: I20080418000571 |
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