Organization
DIAGNOSTIC NEUROLOGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN K MICELI (PRESIDENT)
(847) 588-2930
Entity
Organization
Contact information
Practice address
7437 N HARLEM AVE, #105, NILES, IL 60714-3701
(847) 588-2930
(847) 588-3341
Mailing address
PO BOX 481123, NILES, IL 60714-6123
(847) 588-2930
(847) 588-3341
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
08/14/2007
Last updated
07/21/2022
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