Provider Demographics
NPI:1639318454
Name:NEXNEURO
Entity Type:Organization
Organization Name:NEXNEURO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CURRENT PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSH
Authorized Official - Middle Name:
Authorized Official - Last Name:BENDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-891-0230
Mailing Address - Street 1:210 W 22ND ST
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523
Mailing Address - Country:US
Mailing Address - Phone:224-520-8529
Mailing Address - Fax:847-891-2515
Practice Address - Street 1:815 LUNT AVE
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60193-4414
Practice Address - Country:US
Practice Address - Phone:847-891-0230
Practice Address - Fax:847-891-2515
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TENDER LOVING CARE INDUSTRIES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-02-18
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty