Organization
WESTON NEUROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH M. TAGES M.D. (PRESIDENT)
(630) 801-0031
Entity
Organization
Contact information
Practice address
330 WESTON AVE, AURORA, IL 60505-4767
(630) 801-0031
(630) 801-0199
Mailing address
330 WESTON AVE, AURORA, IL 60505-4767
(630) 801-0031
(630) 801-0199
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
042618477
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042618477
ILL RESGISTERED MED.GROUP
IL
Enumeration date
12/11/2006
Last updated
03/25/2008
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