Provider Demographics
NPI:1134363088
Name:NATIONAL NEUROLOGICAL SERVICES LLC
Entity type:Organization
Organization Name:NATIONAL NEUROLOGICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:PULASKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-283-9228
Mailing Address - Street 1:4958 W IRVING PARK RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60641-2640
Mailing Address - Country:US
Mailing Address - Phone:773-283-9228
Mailing Address - Fax:773-283-9267
Practice Address - Street 1:4958 W IRVING PARK RD
Practice Address - Street 2:SUITE 200
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60641-2640
Practice Address - Country:US
Practice Address - Phone:773-283-9228
Practice Address - Fax:773-283-9267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-22
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management