Organization
NEUROTESTING GROUP SC
Active
Other names
NeuroTesting Group SC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DREW S KANDILAKIS D.C. (CEO)
(312) 877-0035
Entity
Organization
Contact information
Practice address
1430 N ARLINGTON HEIGHTS RD, ARLINGTON HEIGHTS, IL 60004-4830
(312) 804-8910
(630) 390-2222
Mailing address
PO BOX 85, PARK RIDGE, IL 60068-0085
(312) 804-8910
(630) 390-2222
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
038-007934
IL
293D00000X
Physiological Laboratory
038-007934
IL
Other
Enumeration date
03/04/2010
Last updated
03/03/2020
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