Community Neurologic Center Sc

LBN: Community Neurologic Center Sc
Community Neurologic Center Sc is an health care organization with primary practice located at 2172 Blackberry Dr Suite 202, Geneva IL 60134-1073. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Community Neurologic Center Sc can be contacted via phone (630) 208-7735, or through Lake, Boris via phone (630) 208-7735.

Contact Information

Primary practice address
2172 Blackberry Dr Suite 202 Geneva IL 60134-1073
Phone: (630) 208-7735
Fax: (630) 208-6956
Website:
Map and Directions
Authorized official contact:
Name: Lake, Boris
Phone: (630) 208-7735

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 036-093008 Illinois

Profile Details

NPI number 1487852679
LBN Legal business name Community Neurologic Center Sc
DBA Doing business as
Authorized official Lake, Boris
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2007
Last updated Sep 11th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1487852679 NPPES
Illinois Other 036-093008 MEDICAL LICENSE
Illinois MEDICAID 036093008 MEDICAL LICENSE

Popular Providers