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West Suburban Neurosurgical Associates, S.c.
Specialist in Westmont, Illinois
NPI 1992770903

West Suburban Neurosurgical Associates, S.c. is a Specialist based in Westmont, IL. West Suburban Neurosurgical Associates, S.c. practices in Westmont, IL. The NPI Number for West Suburban Neurosurgical Associates, S.c. is 1992770903 and holds a License No. D 4922-407-9 (Illinois).

The current practice location address for West Suburban Neurosurgical Associates, S.c. is 700 E Ogden Ave Ste 106, Westmont, IL and can be reached out via phone at 630-655-1229 and via fax at 630-655-0185.

Location: 700 E Ogden Ave Ste 106, Westmont, IL, 60559-0433
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992770903
Provider Name
West Suburban Neurosurgical Associates, S.c.
Credential
Provider Entity Type
Organization
Address
700 E Ogden Ave Ste 106, Westmont, IL, 60559-0433
Phone Number
630-655-1229
Fax Number
630-655-0185
Provider Enumeration Date
02/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
16-15248 01 IL BLUE SHIELD PROVIDER
institution
Provider Business Practice Location Address Details
Address
700 E Ogden Ave Ste 106
City
Westmont
State
Illinois
Zip
60559-1283
Phone Number
630-655-1229
Fax Number
630-655-0185
person
Provider Business Mailing Address Details
Address
700 E Ogden Ave Ste 106
City
Westmont
State
Illinois
Zip
60559-1283
Phone Number
630-655-1229
Fax Number
630-655-0185
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
D 4922-407-9 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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