Organization Name: | SOUTH SUBURBAN NEUROLOGY LTD |
NPI Number: | 1063539641 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAURA MARIE TURPIN (BILLING MANAGER) |
Mailing Address: | 3235 Vollmer Rd Ste 110 Flossmoor |
State: | IL US |
Postal Code: | 604222013 |
Phone Number: | 7089573737 |
Fax Number: | 7089572516 |
NPI Enumeration Date: | 03/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |