Organization · Type 2 NPI

So Illinois Neurology & Rehab

Specialist · Mount Vernon, IL

NPI number 1174648737 Active

Practice location

1702 Broadway St, Suite C
Mount Vernon, IL 62864-2930

Call (618) 242-6465 Map

Fax (618) 242-6463

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X036-051778 (IL)

Specialist: 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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About NPI 1174648737

So Illinois Neurology & Rehab's National Provider Identifier is 1174648737, issued on Mar 20, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Mount Vernon, IL. The record was last updated on Jun 30, 2008.