Provider Demographics
NPI:1356903488
Name:VIEWPOINT NEUROLOGY, PLLC
Entity type:Organization
Organization Name:VIEWPOINT NEUROLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BREYANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAYS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-320-8480
Mailing Address - Street 1:21141 GOVERNORS HWY STE 114
Mailing Address - Street 2:
Mailing Address - City:MATTESON
Mailing Address - State:IL
Mailing Address - Zip Code:60443-3818
Mailing Address - Country:US
Mailing Address - Phone:708-320-8480
Mailing Address - Fax:
Practice Address - Street 1:21141 GOVERNORS HWY STE 114
Practice Address - Street 2:
Practice Address - City:MATTESON
Practice Address - State:IL
Practice Address - Zip Code:60443-3818
Practice Address - Country:US
Practice Address - Phone:708-320-8480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-28
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty