Organization
CENTER FOR NEUROLOGICAL DISORDERS S,C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRASAD CHAPPIDI M.D. (PRESIDENT)
(773) 205-9800
Entity
Organization
Contact information
Practice address
5600 W ADDISON ST, SUITE 406, CHICAGO, IL 60634
(773) 205-9800
(773) 205-9801
Mailing address
PO BOX 320, GLENVIEW, IL 60025-0320
(847) 400-5540
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036097660
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036097660
—
IL
Enumeration date
08/14/2006
Last updated
06/05/2018
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