Provider Demographics
NPI:1003839465
Name:NEUROMETRIKS LTD
Entity Type:Organization
Organization Name:NEUROMETRIKS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDEEP
Authorized Official - Middle Name:
Authorized Official - Last Name:AGGARWAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-202-8880
Mailing Address - Street 1:211 E ONTARIO ST
Mailing Address - Street 2:SUITE 1440
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-3468
Mailing Address - Country:US
Mailing Address - Phone:312-202-8880
Mailing Address - Fax:312-202-8882
Practice Address - Street 1:211 E ONTARIO ST
Practice Address - Street 2:SUITE 1440
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-3468
Practice Address - Country:US
Practice Address - Phone:312-202-8880
Practice Address - Fax:312-202-8882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2010-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0360918492084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036091849Medicaid
IL212376Medicare PIN
ILG19286Medicare UPIN
IL6357000001Medicare NSC