Organization
DANVILLE NEUROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAHID A TAZUDEEN M.D. (OWNER)
(217) 431-8400
Entity
Organization
Contact information
Practice address
701 W FAIRCHILD ST, LOWER LEVEL, DANVILLE, IL 61832-3745
(217) 431-8400
(217) 431-0387
Mailing address
701 W FAIRCHILD ST, LOWER LEVEL, DANVILLE, IL 61832-3745
(217) 431-8400
(217) 431-0387
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
IL
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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