OrganizationActive
Intranerve LLC
NPI 1942569843 · Electroneurodiagnostic Specialist/Technologist · Lisle, IL
Provider details
- NPI number
- 1942569843
- Entity type
- Organization
- Primary specialty
- Electroneurodiagnostic Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Organization subpart
- No
- Authorized official
- Michael Kostreva, Dir. of Operatons Midwest.(331) 330-3336
- License
- 246ZE0600X (IL)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
2210 Abbeywood Dr Ste a
Lisle, IL 60532-3384
Phone: (331) 330-3336
Approximate (ZIP-level) locationGet directions
Mailing address
2210 Abbeywood Dr Ste a
Lisle, IL 60532-3384
Registry dates
- Enumerated
- 2012-05-11
- Last updated
- 2012-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.