Midwest Neurofitness

NPI #1447382932 in Champaign, Illinois

Provider Information

NPI Number: 1447382932
Entity Type: Organization
Organization Name: Midwest Neurofitness
Primary Specialty: Counselor - Professional
Enumeration Date: Mar 10, 2007
Last Updated: Jul 7, 2008

Practice Location

Address: 313 N MATTIS AVE
Address 2: SUITE 205
City: Champaign
State: Illinois
ZIP Code: 61821-2460
Phone: (217) 348-1086

Authorized Official

Name: DR. WILLIAM ANDREW HOGAN, PHD
Title: MAJORITY PARTNER
Phone: (217) 348-1086

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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