Organization
NEUROTECH, LLC
Active
Parent organization
NEUROTECH, LLC
Other names
Neurotech Missouri
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEUROTECH, LLC
Authorized official
KRISTINE LISA WILDNER (DIRECTOR OF CONTRACTING AND RESEARC)
(262) 875-6572
Entity
Organization
Contact information
Practice address
1691 TOWN CENTER ST, AURORA, IL 60504-4590
(630) 229-6223
Mailing address
626 W MORELAND BLVD, WAUKESHA, WI 53188-2433
Taxonomy
Speciality
Code
Description
License number
State
246ZE0500X
EEG Specialist/Technologist
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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