Provider Demographics
NPI:1952173221
Name:NEUROCARE LLC
Entity Type:Organization
Organization Name:NEUROCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:CORINNE
Authorized Official - Middle Name:J
Authorized Official - Last Name:GIANNIOU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-488-0678
Mailing Address - Street 1:10500 W. LOOMIS RD. STE 130
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53132
Mailing Address - Country:US
Mailing Address - Phone:414-488-1111
Mailing Address - Fax:414-488-0700
Practice Address - Street 1:10500 W. LOOMIS RD. STE 130
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:WI
Practice Address - Zip Code:53132
Practice Address - Country:US
Practice Address - Phone:414-488-1111
Practice Address - Fax:414-488-0700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty