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Organization
NEUROMUSCULAR DIAGNOSTICS PLLC
Active
Organization
NEUROMUSCULAR DIAGNOSTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY GRYLLS (BILLING/CREDENTIALING)
(773) 849-7723
Entity
Organization
Contact information
Practice address
1442 W SUNNYSIDE AVE, CHICAGO, IL 60640-5412
(773) 560-4270
(773) 857-0769
Mailing address
1442 W SUNNYSIDE AVE, CHICAGO, IL 60640-5412
(773) 337-7747
(773) 442-0600
Taxonomy
Speciality
Code
Description
License number
State
2251E1300X
Clinical Electrophysiology Physical Therapist
Primary
—
NULL
2251E1300X
Clinical Electrophysiology Physical Therapist
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
06/26/2026
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