| Tower Plaza Neurology Sc | |
|
475 Brown Blvd Suite 101 Bourbonnais IL 60914-2325 | |
| (815) 939-7421 | |
| Not Available |
| Full Name | Tower Plaza Neurology Sc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 475 Brown Blvd, Bourbonnais, Illinois |
| Authorized Official Name and Position | Michael J Sergeant (PRESIDENT) |
| Authorized Official Contact | 8159387421 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tower Plaza Neurology Sc 475 Brown Bld Suite 101 Bourbonnais IL 60914-2325 Ph: (815) 939-7421 | Tower Plaza Neurology Sc 475 Brown Blvd Suite 101 Bourbonnais IL 60914-2325 Ph: (815) 939-7421 |
| NPI Number | 1053672832 |
|---|---|
| Provider Enumeration Date | 06/07/2012 |
| Last Update Date | 10/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053672832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 036057704 (Illinois) | Primary |
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