Organization · Type 2 NPI
King Community Mental Health Center Corp
Neurology Physician · Chicago, IL
NPI number
1003056557
Active
Practice location
4455 S King Drive, Suite 101
Chicago, IL 60653-3310
Fax (773) 751-2250
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurology Physician Primary | 2084N0400X | 036089152 (IL) |
Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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About NPI 1003056557
King Community Mental Health Center Corp's National Provider Identifier is 1003056557, issued on Feb 24, 2009. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Chicago, IL. The record was last updated on Jun 25, 2009.