# NEUROMUSCULAR DIAGNOSTICS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720846082
- **Authorized official:** HOLLY GRYLLS (BILLING/CREDENTIALING)
- **Authorized official phone:** (773) 849-7723

## Contact information

- **Practice address:** 1442 W SUNNYSIDE AVE, CHICAGO, IL 60640-5412
- **Practice address phone:** (773) 560-4270
- **Practice address fax:** (773) 857-0769
- **Mailing address:** 1442 W SUNNYSIDE AVE, CHICAGO, IL 60640-5412
- **Mailing address phone:** (773) 337-7747
- **Mailing address fax:** (773) 442-0600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251E1300X | Clinical Electrophysiology Physical Therapist | — | NULL | Yes |
| 2251E1300X | Clinical Electrophysiology Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 03/11/2024
- **Last updated:** 06/26/2026