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Organization

CHICAGO INSTITUTE OF NEUROSURGERY & NEURORESEARCH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEONARD J. CERULLO M.D. (MEDICAL DIRECTOR OF GROUP)
(773) 250-0500
Entity
Organization

Contact information

Practice address
4501 N WINCHESTER AVE, 3RD FLOOR, CHICAGO, IL 60640-5265
(773) 250-0500
(773) 250-0497
Mailing address
4501 N WINCHESTER AVE, 3RD FLOOR, CHICAGO, IL 60640-5265
(773) 250-0500
(773) 250-0497

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
042005619
IL

Other

Enumeration date
05/15/2006
Last updated
04/25/2008
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