| University Neurology Associates, Pc | |
|
407 E University Ave Champaign IL 61820-3865 | |
| (217) 403-1840 | |
| (217) 403-1844 |
| Full Name | University Neurology Associates, Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 407 E University Ave, Champaign, Illinois |
| Authorized Official Name and Position | Ming Tao Wang (PRESIDENT) |
| Authorized Official Contact | 2174031840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Neurology Associates, Pc 2905 Wendover Pl Champaign IL 61822-6186 Ph: (217) 403-1840 | University Neurology Associates, Pc 407 E University Ave Champaign IL 61820-3865 Ph: (217) 403-1840 |
| NPI Number | 1417191255 |
|---|---|
| Provider Enumeration Date | 04/23/2009 |
| Last Update Date | 04/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417191255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 036106997 (Illinois) | Primary |
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