Community Neurologic Center SC
Community Neurologic Center SC is a Clinic/Center in Geneva, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
2172 Blackberry Dr Ste 202Geneva, IL 60134-1073
Phone: (630) 208-7735
Fax: (630) 208-6956
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence 036-093008 (IL) |
|---|
Record details
| NPI number | 1487852679 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Boris Lake — Business Manager · (630) 208-7735 |
| NPI enumerated | July 10, 2007 |
| Last updated in NPPES | September 11, 2012 |
| Mailing address | 2172 Blackberry Dr, Suite 202, Geneva, IL 60134-1073 |
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