| Neurology Clinic Of Chicago, Llc | |
|
4909 W Division St Ste 302 Chicago IL 60651-3161 | |
| (773) 832-7100 | |
| (833) 832-7100 |
| Full Name | Neurology Clinic Of Chicago, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 4909 W Division St Ste 302, Chicago, Illinois |
| Authorized Official Name and Position | Mohamed S Sirajudeen (MANAGER) |
| Authorized Official Contact | 7735521355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Clinic Of Chicago, Llc 4909 W Division St Ste 302 Chicago IL 60651-3161 Ph: (773) 552-1355 | Neurology Clinic Of Chicago, Llc 4909 W Division St Ste 302 Chicago IL 60651-3161 Ph: (773) 832-7100 |
| NPI Number | 1124526272 |
|---|---|
| Provider Enumeration Date | 01/23/2018 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124526272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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