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

TaxonomyCodeLicense
Neurology Physician Primary 2084N0400X036089152 (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.