| NPI | 1811495989 |
|---|---|
| Doing Business As | PEACH NEUROLOGY |
| Entity Type | Organization |
| Authorized Contact | KOHILAVANI VELAYUDAM Director 847-691-7788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: GA 72584) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: GA 72584) |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-03-17 |