Organization
NEUROSURGERY AND SPINE SURGERY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIFFANY M PFLIEGER (CODER/BILLER)
(630) 983-7100
Entity
Organization
Contact information
Practice address
1551 BOND ST, SUITE 143, NAPERVILLE, IL 60563-0112
(630) 983-7100
(630) 983-6331
Mailing address
1551 BOND ST, SUITE 143, NAPERVILLE, IL 60563-0112
(630) 983-7100
(630) 983-6331
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
042001653036091593
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130942100
ACS
—
01
—
4515366
BCBS
—
01
—
CM8165
RR MCARE
—
Enumeration date
01/30/2007
Last updated
07/29/2014
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