OrganizationActive
Definitive Neurodiagnostics, LLC Professional Services
NPI 1629468541 · Electroneurodiagnostic Specialist/Technologist · Normal, IL
Provider details
- NPI number
- 1629468541
- Entity type
- Organization
- Primary specialty
- Electroneurodiagnostic Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Parent organization
- Definitive Neurodiagnostics, LLC
- Organization subpart
- Yes
- Authorized official
- John Atwater, Owner(309) 454-1100
- License
- 036100906 (IL)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
1604 Visa Dr # 1
Normal, IL 61761-2195
Phone: (309) 454-1100
Approximate (ZIP-level) locationGet directions
Mailing address
1604 Visa Dr # 1
Normal, IL 61761-2195
Registry dates
- Enumerated
- 2015-01-30
- Last updated
- 2015-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.