Organization
NEUROLAB NEURODIAGNOSTIC SERVICES, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY D THURSTON DC, DIBCN (PRESIDENT/OWNER)
(847) 477-7678
Entity
Organization
Contact information
Practice address
1614 N HARLEM AVE, ELMWOOD PARK, IL 60707-4302
(847) 477-4678
(847) 573-1944
Mailing address
PO BOX 178, LIBERTYVILLE, IL 60048-0178
(847) 477-7678
(847) 573-1944
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
038-005346
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4932633
BC/BS OF IL
IL
Enumeration date
01/31/2007
Last updated
04/30/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us