| NPI | 1083013627 |
|---|---|
| Other Name | NEUROTECH ILLINOIS |
| Entity Type | Organization |
| Authorized Contact | KRISTINE LISA WILDNER Director Of Contracting & Research 262-875-6572 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
| 246ZE0500X Specialist/Technologist, Other, EEG | |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2019-03-11 |