Organization
TRI-CITY NEUROLOGY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS L SCHLAGETER MD (PRESIDENT)
(630) 587-2068
Entity
Organization
Contact information
Practice address
2210 DEAN ST STE D, ST CHARLES, IL 60175-1059
(630) 587-2068
(630) 587-2081
Mailing address
2210 DEAN ST STE D, ST CHARLES, IL 60175-1059
(630) 587-2068
(630) 587-2081
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036060880
—
IL
01
—
130017803
RAILROAD MEDICARE
—
01
—
163660582166
HUMANA
—
01
—
4522081
BCBS
IL
01
—
4740209004
CIGNA
—
01
—
5338653
AETNA
—
01
—
K14614
MEDICARE
—
Enumeration date
01/12/2006
Last updated
01/23/2015
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