Organization · Type 2 NPI

Neurotech, LLC

Physiological Laboratory · Homewood, IL

NPI number 1447735451 Active

Practice location

1820 Ridge Rd Ste 303A
Homewood, IL 60430-1759

Call (708) 960-3997 Map

Fax (262) 754-0897

Mailing address

626 W Moreland Blvd
Waukesha, WI 53188-2433

Specialties and licenses

Taxonomy	Code	License
EEG Specialist/Technologist	246ZE0500X	None listed
Sleep Disorder Diagnostic Clinic/Center	261QS1200X	None listed
Physiological Laboratory Primary	293D00000X	None listed
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	335V00000X	None listed

Physiological Laboratory: A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical labora…

NPI record

NPI: 1447735451
Entity type: Organization (Type 2)
Issued: Sep 26, 2018
Last updated: Mar 9, 2019
Status: Active
Subpart: Yes of Neurotech, LLC

Other names

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Neurotech, LLC Homewood Il · former legal business name
Neurotech, LLC Homewood Il · former legal business name

Authorized official

Mrs. Kristine Lisa Wildner
Director of Contracting & Research
(262) 875-6572

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1447735451

Neurotech, LLC's National Provider Identifier is 1447735451, issued on Sep 26, 2018. The primary taxonomy on file is Physiological Laboratory (293D00000X), and the practice location is in Homewood, IL. The record was last updated on Mar 9, 2019.