Organization
CENTER FOR BRAIN AND NERVE DISORDERS S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SREEPATHY KANNAN M.D. (PRESIDENT)
(630) 258-1499
Entity
Organization
Contact information
Practice address
10723 WINTERSET DR, ORLAND PARK, IL 60467-1106
(708) 675-7110
(708) 310-3430
Mailing address
8S323 HAMPTON CIR, NAPERVILLE, IL 60540-9322
(708) 675-7110
(630) 778-3971
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036.115847
IL
Other
Enumeration date
08/12/2013
Last updated
12/23/2013
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