| NPI | 1033231675 |
|---|---|
| Other Name | NEURO SPINE CENTER OF NORTHERN ILLINOIS SC |
| Entity Type | Organization |
| Authorized Contact | KANU PANCHAL Owner 815-344-0175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 036056972) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2012-01-03 |