Provider Demographics
NPI:1538364591
Name:NEUROLOGY AND NEURODIAGNOSTICS, LTD
Entity type:Organization
Organization Name:NEUROLOGY AND NEURODIAGNOSTICS, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:METRICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-297-2112
Mailing Address - Street 1:1651 FOREST DRIVE
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025-1674
Mailing Address - Country:US
Mailing Address - Phone:847-297-2112
Mailing Address - Fax:847-297-2112
Practice Address - Street 1:1651 FOREST DRIVE
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60025-1674
Practice Address - Country:US
Practice Address - Phone:847-297-2112
Practice Address - Fax:847-297-2112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-19
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty