Organization
NEURO-DIAGNOSTIC INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON ZIMNOWODZKI MD (PRESIDENT)
(847) 471-8587
Entity
Organization
Contact information
Practice address
1201 HOHLFELDER RD, 100, GLENCOE, IL 60022-1020
(847) 471-8587
Mailing address
1201 HOHLFELDER RD, 100, GLENCOE, IL 60022-1020
(847) 471-8587
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036066313
IL
Other
Enumeration date
12/17/2010
Last updated
02/22/2011
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