Healthcare Provider Details
I. General information
NPI: 1508915497
Provider Name (Legal Business Name): NEURODIAGNOSTIC ASSOCIATES OF ILLINOIS, LTD
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/09/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2257 W SCHAUMBURG RD
SCHAUMBURG IL
60194-3891
US
IV. Provider business mailing address
2257 W SCHAUMBURG RD
SCHAUMBURG IL
60194-3891
US
V. Phone/Fax
- Phone: 847-895-3583
- Fax:
- Phone: 847-895-3583
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208100000X |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| License Number | |
| License Number State | IL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | |
| License Number State | IL |
VIII. Authorized Official
Name: DR.
STEVEN
PECTOR
Title or Position: PRESIDENT
Credential: DO
Phone: 847-895-3583