Organization · Type 2 NPI
Definitive Neurodiagnostics, LLC Professional Services
Electroneurodiagnostic Specialist/Technologist · Normal, IL
NPI number
1629468541
Active
Practice location
1604 Visa Dr # 1
Normal, IL 61761-2195
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Electroneurodiagnostic Specialist/Technologist Primary | 246ZE0600X | 036100906 (IL) |
Electroneurodiagnostic Specialist/Technologist: Definition to come...
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About NPI 1629468541
Definitive Neurodiagnostics, LLC Professional Services's National Provider Identifier is 1629468541, issued on Jan 30, 2015. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Normal, IL. The record was last updated on Jan 30, 2015.