| Tri-city Neurology Sc | |
|
2210 Dean St Ste D St Charles IL 60175-1059 | |
| (630) 587-2068 | |
| (630) 587-2081 |
| Full Name | Tri-city Neurology Sc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 2210 Dean St Ste D, St Charles, Illinois |
| Authorized Official Name and Position | Nicholas L Schlageter (PRESIDENT) |
| Authorized Official Contact | 6305872068 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-city Neurology Sc 2210 Dean St Ste D St Charles IL 60175-1059 Ph: (630) 587-2068 | Tri-city Neurology Sc 2210 Dean St Ste D St Charles IL 60175-1059 Ph: (630) 587-2068 |
| NPI Number | 1174502611 |
|---|---|
| Provider Enumeration Date | 01/12/2006 |
| Last Update Date | 01/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174502611 | NPI | - | NPPES |
| K14614 | Other | MEDICARE | |
| 130017803 | Other | RAILROAD MEDICARE | |
| 4522081 | Other | IL | BCBS |
| 036060880 | Medicaid | IL | |
| 163660582166 | Other | HUMANA | |
| 4740209004 | Other | CIGNA | |
| 5338653 | Other | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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