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Community Neurologic Center Sc
Clinic/Center in Geneva, Illinois
NPI 1487852679

Community Neurologic Center Sc is a Clinic/Center based in Geneva, IL. Community Neurologic Center Sc practices in Geneva, IL. The NPI Number for Community Neurologic Center Sc is 1487852679 and holds a License No. 036-093008 (Illinois).

The current practice location address for Community Neurologic Center Sc is 2172 Blackberry Dr, Geneva, IL and can be reached out via phone at 630-208-7735 and via fax at 630-208-6956.

Location: 2172 Blackberry Dr, Geneva, IL, 60134-1073
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487852679
Provider Name
Community Neurologic Center Sc
Credential
Provider Entity Type
Organization
Address
2172 Blackberry Dr, Geneva, IL, 60134-1073
Phone Number
630-208-7735
Fax Number
630-208-6956
Provider Enumeration Date
07/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036-093008 01 IL MEDICAL LICENSE
036093008 05 IL
institution
Provider Business Practice Location Address Details
Address
2172 Blackberry Dr
City
Geneva
State
Illinois
Zip
60134-1073
Phone Number
630-208-7735
Fax Number
630-208-6956
person
Provider Business Mailing Address Details
Address
2172 Blackberry Dr
City
Geneva
State
Illinois
Zip
60134-1073
Phone Number
630-208-7735
Fax Number
630-208-6956
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
036-093008 (Illinois)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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