Organization
ADVANCED NEUROLOGICAL DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY SZYMANSKI M.D. (PRESIDENT)
(773) 284-8881
Entity
Organization
Contact information
Practice address
5241 S CICERO AVE, SUITE 201, CHICAGO, IL 60632-4967
(773) 284-8881
Mailing address
PO BOX 388194, CHICAGO, IL 60638-8194
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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