Organization
SPINE & NERVE TESTING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE M. HERRERA (OFFICE ADMINISTRATOR)
(847) 775-7979
Entity
Organization
Contact information
Practice address
2634 GRAND AVE, SUITE #101, WAUKEGAN, IL 60085-2458
(847) 775-7979
(847) 775-7975
Mailing address
2634 GRAND AVE, SUITE #101, WAUKEGAN, IL 60085-2458
(847) 775-7979
(847) 775-7975
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
04/18/2007
Last updated
08/22/2020
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