DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SO ILLINOIS NEUROLOGY & REHAB

Active Organization

SO ILLINOIS NEUROLOGY & REHAB is a Specialist organization located in MOUNT VERNON, Illinois. NPI 1174648737 is currently active in the NPPES registry. Verify at CMS.

Specialist · MOUNT VERNON, IL

Registration Details

NPI Number
1174648737
Provider Type
Organization
NPI Issued
Mar 20, 2007 (19.421413634247 yrs)
Last Updated
Jun 30, 2008
License
036-051778 (IL)

Practice Information

Address
1702 BROADWAY ST
SUITE C
MOUNT VERNON, IL, 628642930
Browse IL providers · Browse ZIP 62864
Phone
6182426465
Fax
6182426463
Primary Specialty
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.