Organization
NEUROLOGY CLINIC OF CHICAGO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED S SIRAJUDEEN (MANAGER)
(773) 552-1355
Entity
Organization
Contact information
Practice address
4909 W DIVISION ST STE 302, CHICAGO, IL 60651-3161
(773) 832-7100
(833) 832-7100
Mailing address
4909 W DIVISION ST STE 302, CHICAGO, IL 60651-3161
(773) 552-1355
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
01/23/2018
Last updated
06/16/2018
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