Provider Demographics
NPI:1578872065
Name:GENE O. NERI, M.D., S.C.
Entity Type:Organization
Organization Name:GENE O. NERI, M.D., S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAN
Authorized Official - Prefix:DR
Authorized Official - First Name:GENE
Authorized Official - Middle Name:OMERO
Authorized Official - Last Name:NERI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-654-3636
Mailing Address - Street 1:40 S CLAY ST
Mailing Address - Street 2:SUITE 220W
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-3257
Mailing Address - Country:US
Mailing Address - Phone:630-654-3636
Mailing Address - Fax:630-654-3680
Practice Address - Street 1:40 S CLAY ST
Practice Address - Street 2:SUITE 220W
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-3257
Practice Address - Country:US
Practice Address - Phone:630-654-3636
Practice Address - Fax:630-654-3680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-30
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty