Spine & Nerve Testing Center

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Legal business name

SPINE & NERVE TESTING CENTER

Practice address

2634 Grand Ave
Suite #101
Waukegan, IL 60085-2458

Phone

(847) 775-7979

Fax

(847) 775-7975

NPI assigned

Apr 18, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michelle M. Herrera

Title

Office Administrator

Phone

(847) 775-7979

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114143088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2634 GRAND AVE",
            "address_2": "SUITE #101",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600852458",
            "telephone_number": "847-775-7979",
            "fax_number": "847-775-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2634 GRAND AVE",
            "address_2": "SUITE #101",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600852458",
            "telephone_number": "847-775-7979",
            "fax_number": "847-775-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE & NERVE TESTING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "847-775-7979"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maritza Solis, MSW, LCSW
• Phyllis Sommer, CNM
• Miki K Son
• Samantha Sotelo
• Spine & Joint Institute of Lake County
• Spine Institute of Waukegan
• James Spiziri
• Kelly Spratt-Szarzynski
• Karen Srill-Jaffe
• Teresa Michelle St. Luce

• Electroneurodiagnostic Specialist/Technologist in Waukegan, IL
• Providers in Waukegan, IL by specialty
• Electroneurodiagnostic Specialist/Technologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.