| NPI | 1114143088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE M. HERRERA Office Administrator 847-775-7979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |