Organization
AMBULATORY NEUROLOGICAL SERVICES, LLC
Active
Parent organization
AMBULATORY NEUROLOGICAL SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMBULATORY NEUROLOGICAL SERVICES, LLC
Authorized official
MIGUEL L IRIBARREN (PRESIDENT)
(847) 340-9726
Entity
Organization
Contact information
Practice address
7300 HUDSON BLVD N, SUITE 220, OAKDALE, MN 55128-7141
(651) 330-1136
(866) 858-7255
Mailing address
1833 ELMWOOD AVE, WILMETTE, IL 60091-1557
(847) 340-9726
(866) 858-7255
Taxonomy
Speciality
Code
Description
License number
State
246ZE0500X
EEG Specialist/Technologist
Primary
—
—
Other
Enumeration date
09/21/2009
Last updated
09/21/2009
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