Organization
NEUROLOGY CENTERS OF ILLINOIS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER SLAVIN DC (PRESIDENT)
(847) 299-7000
Entity
Organization
Contact information
Practice address
8269 W GOLF RD, NILES, IL 60714-1156
(847) 299-7000
Mailing address
8269 W GOLF RD, NILES, IL 60714-1156
(847) 299-7000
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036133912
IL
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
036133912
IL
Other
Enumeration date
07/15/2016
Last updated
07/15/2016
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