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General NPI Number Information
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NPI Number | 1881065738
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Entity Type | Organization
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Legal Business Name | MIDWEST INSTITUTE OF NEUROLOGICAL DISCOVERY, LLC
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Dates
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Enumeration Date | 10/16/2015
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Last Update Date | 01/19/2025
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Provider Practice Location Address
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Address Line | 440 LAKE COOK RD
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City | DEERFIELD
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State | IL
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Zip | 60015-5242
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Country | US
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Telephone | 847-945-6463
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Fax | 847-945-6469
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Provider Business Mailing Address
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Address Line | 440 LAKE COOK RD
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City | DEERFIELD
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State | IL
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Zip | 60015
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Country | US
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Telephone | 847-945-6463
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Fax | 847-945-6469
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Authorized Official
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Title or Position | OWNNER/DIRECTOR/MANAGER
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Name | STEVEN R DEVORE BEST
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Credential | MD
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Telephone | 847-945-6463
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PE0005X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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Taxonomy #3
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Taxonomy Code | 2083P0011X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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License Number |
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Taxonomy #4
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Taxonomy Code | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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Taxonomy #6
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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Taxonomy #7
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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