IndividualActive
Keith Liptock
NPI 1184334906 · Electroneurodiagnostic Specialist/Technologist · Normal, IL
Provider details
- NPI number
- 1184334906
- Entity type
- Individual
- Primary specialty
- Electroneurodiagnostic Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
1304 Franklin Ave
Normal, IL 61761-3558
Phone: (309) 454-1400
Approximate (ZIP-level) locationGet directions
Mailing address
1604 Visa Dr Ste 1
Normal, IL 61761-2195
Additional practice locations (1)
- 2200 E Washington StBloomington, IL 61701-4364Phone: (309) 662-3311
Registry dates
- Enumerated
- 2022-12-02
- Last updated
- 2022-12-02
- Certified
- 2022-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.