| NPI | 1265732036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN EDWARD DRAGOS Managing Member 815-408-0519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2010-11-08 |