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General NPI Number Information
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NPI Number | 1649070525
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Entity Type | Organization
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Legal Business Name | NEUROLOGY SPECIALISTS
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Dates
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Enumeration Date | 03/18/2025
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 1719 GLENWOOD AVE
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City | JOLIET
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State | IL
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Zip | 60435-5835
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Country | US
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Telephone | 815-741-3532
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Fax |
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Provider Business Mailing Address
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Address Line | 1921 MANNING RD
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City | DARIEN
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State | IL
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Zip | 60561-4309
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Country | US
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Telephone | 630-418-0503
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ABDUSSALAM CHOUDRY
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Credential | MD
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Telephone | 630-418-0503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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