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Organization

NEUROLOGY, CLINICAL NEUROPHYSIOLOGY, AND SLEEP MEDICINE, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN R WILSON (PRESIDENT)
(708) 681-7879
Entity
Organization

Contact information

Practice address
1440 W NORTH AVE STE 304, MELROSE PARK, IL 60160-1426
(708) 681-7879
(708) 681-7886
Mailing address
1440 W NORTH AVE STE 304, MELROSE PARK, IL 60160-1426
(708) 681-7879
(708) 681-7886

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
IL

Other

Enumeration date
05/19/2006
Last updated
09/18/2025
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