Organization
NEUROLOGY DIAGNOSTICS GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER BLANK (CONTRACTING & CREDENTIALING MANAGER)
(262) 875-6575
Entity
Organization
Contact information
Practice address
1355 REMINGTON RD STE W, SCHAUMBURG, IL 60173-4818
(866) 374-7648
(262) 754-0897
Mailing address
626 W MORELAND BLVD, WAUKESHA, WI 53188-2433
(866) 374-7648
(262) 754-0897
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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