Provider Demographics
NPI:1184360315
Name:CHICAGO DIZZINESS AND BALANCE PLLC
Entity type:Organization
Organization Name:CHICAGO DIZZINESS AND BALANCE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARCELLO
Authorized Official - Middle Name:
Authorized Official - Last Name:CHERCHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-472-0172
Mailing Address - Street 1:645 N MICHIGAN AVE STE 410
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-5800
Mailing Address - Country:US
Mailing Address - Phone:312-472-0172
Mailing Address - Fax:312-376-8707
Practice Address - Street 1:645 N MICHIGAN AVE STE 410
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-5800
Practice Address - Country:US
Practice Address - Phone:312-472-0172
Practice Address - Fax:312-376-8707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-10
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty