NPI 1225175219

Neurolab Neurodiagnostic Services, Sc

Organisation Neurology Chiropractor Elmwood Park, IL

Practice location

Address: 1614 N Harlem Ave, Elmwood Park, IL 60707-4302
Phone: (847) 477-4678
Fax: (847) 573-1944
Mailing address: PO Box 178, Libertyville, IL 60048-0178

Authorised official

Name: Gregory D Thurston
Title: President/Owner
Phone: (847) 477-7678

Registered specialties

Neurology Chiropractor Primary

Chiropractic Providers Taxonomy 111NN0400X Licence 038-005346 (IL)

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Registry record

NPI: 1225175219
Entity type: Organization
NPI issued: 31 Jan 2007
Record last updated: 30 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.