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Organization

TOWER PLAZA NEUROLOGY SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL J SERGEANT SR. MD (PRESIDENT)
(815) 938-7421
Entity
Organization

Contact information

Practice address
475 BROWN BLVD, SUITE 101, BOURBONNAIS, IL 60914-2325
(815) 939-7421
Mailing address
475 BROWN BLD, SUITE 101, BOURBONNAIS, IL 60914-2325
(815) 939-7421

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036057704
IL

Other

Enumeration date
06/07/2012
Last updated
10/16/2014
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