Community Neurologic Center Sc

NPI #1487852679 in Geneva, Illinois

Provider Information

NPI Number
1487852679
Entity Type
Organization
Organization Name
Community Neurologic Center Sc
Primary Specialty
Clinic/Center
Enumeration Date
Jul 10, 2007
Last Updated
Sep 11, 2012

Practice Location

Address
2172 BLACKBERRY DR
Address 2
SUITE 202
City
Geneva
ZIP Code
60134-1073
Phone
(630) 208-7735

Authorized Official

Name
MR. BORIS LAKE
Title
BUSINESS MANAGER
Phone
(630) 208-7735

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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