| Neurology Consultants, S.c. | |
|
3330 W 177th St Suite 3c Hazel Crest IL 60429-2184 | |
| (708) 799-6799 | |
| Not Available |
| Full Name | Neurology Consultants, S.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3330 W 177th St, Hazel Crest, Illinois |
| Authorized Official Name and Position | Kenneth Winston Holmes (PRESIDENT) |
| Authorized Official Contact | 7087996799 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Consultants, S.c. 3330 W 177th St Suite 3c Hazel Crest IL 60429-2184 Ph: (708) 799-6799 | Neurology Consultants, S.c. 3330 W 177th St Suite 3c Hazel Crest IL 60429-2184 Ph: (708) 799-6799 |
| NPI Number | 1730294943 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 10/31/2007 |
| Medicare PECOS PAC ID | 8628039534 |
|---|---|
| Medicare Enrollment ID | O20041025000254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730294943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (Illinois) | Primary |
| Provider Name | Kenneth W Holmes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114982477 PECOS PAC ID: 8527029438 Enrollment ID: I20080205000285 |
| Provider Name | Scott E Lipson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811144157 PECOS PAC ID: 3476746173 Enrollment ID: I20101026000227 |
| Provider Name | Eric J Ericson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972750743 PECOS PAC ID: 4385812718 Enrollment ID: I20110729000185 |
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