OrganizationActive
Elite Iom LLC
NPI 1952196586 · Clinical Neurophysiology Physician · Springfield, IL
Provider details
- NPI number
- 1952196586
- Entity type
- Organization
- Primary specialty
- Clinical Neurophysiology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Kelly Mcclintock, Compliance Officer
Practice location
2501 Chatham Rd Ste R
Springfield, IL 62704-4188
Phone: (866) 374-6628
Fax: (866) 951-1120
Mailing address
2501 Chatham Rd Ste R
Springfield, IL 62704-4188
Registry dates
- Enumerated
- 2025-04-14
- Last updated
- 2025-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.