Organization
GLENCOR NEUROMONITORING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNA ALZATE MD (MANAGING MEMBER)
(646) 483-3051
Entity
Organization
Contact information
Practice address
611 S MILWAUKEE AVE STE 8, LIBERTYVILLE, IL 60048-3256
(847) 989-0606
Mailing address
611 S MILWAUKEE AVE STE 8, LIBERTYVILLE, IL 60048-3256
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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