Neurology Clinic of Danville, LLC

NPI #1194990853 in Danville, Illinois

Provider Information

NPI Number: 1194990853
Entity Type: Organization
Organization Name: Neurology Clinic of Danville, LLC
Primary Specialty: Specialist
Enumeration Date: Apr 24, 2008
Last Updated: Apr 24, 2008

Practice Location

Address: 701 W FAIRCHILD ST
City: Danville
State: Illinois
ZIP Code: 61832-3745
Phone: (217) 431-8400

Authorized Official

Name: DR. VATHIAR A TAZUDEEN, M.D.
Title: OWNER
Phone: (217) 431-8400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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