Elite Iom LLC
NPI #1952196586 in Springfield, Illinois
Provider Information
- NPI Number
- 1952196586
- Entity Type
- Organization
- Organization Name
- Elite Iom LLC
- Primary Specialty
- Psychiatry & Neurology - Clinical Neurophysiology
- Enumeration Date
- Apr 14, 2025
- Last Updated
- Dec 29, 2025
Practice Location
- Address
- 2501 CHATHAM RD STE R
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-4188
- Phone
- (866) 374-6628
Authorized Official
- Name
- KELLY MCCLINTOCK, CPCO
- Title
- COMPLIANCE OFFICER
- Phone
- (866) 374-6628
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Clinical Neurophysiology — Clinical Neurophysiology |
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