Organization
DEFINITIVE NEURODIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIKKI L. FALLS (MANAGING DIRECTOR)
(309) 454-1100
Entity
Organization
Contact information
Practice address
1604 VISA DR, SUITE 1, NORMAL, IL 61761-2195
(309) 454-1100
(309) 454-1107
Mailing address
1604 VISA DR, SUITE 1, NORMAL, IL 61761-2195
(309) 454-1100
(309) 454-1107
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
036100906
IL
Other
Enumeration date
03/28/2007
Last updated
06/22/2016
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