Organization
NEUROCYST INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PARKER (INSURANCE MANAGER)
(815) 513-3654
Entity
Organization
Contact information
Practice address
333 MADISON ST, JOLIET, IL 60435-8200
(815) 725-7133
Mailing address
504 MAIN ST, MARSEILLES, IL 61341-1419
(815) 513-3654
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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