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DEFINITIVE NEURODIAGNOSTICS, LLC PROFESSIONAL SERVICES
NPI 1629468541
Specialist/Technologist, Other - Electroneurodiagnostic in Normal, IL

Active since January 30, 2015
1604 VISA DR # 1, NORMAL, IL 61761(309) 454-1100 Get Directions Write a Review

NPPES record last updated: January 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Definitive Neurodiagnostics, Llc Professional Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEFINITIVE NEURODIAGNOSTICS, LLC PROFESSIONAL SERVICES (NPI 1629468541) is a healthcare organization registered as an electroneurodiagnostic in Normal, Illinois and active in the NPI registry since January 2015. The organization lists John G Atwater, Owner, as its authorized official.

NPPES Registry Identity

NPI1629468541
Entity TypeOrganization
Primary Taxonomy246ZE0600X
Legal Business NameDEFINITIVE NEURODIAGNOSTICS, LLC PROFESSIONAL SERVICES
Location Address1604 VISA DR # 1Normal, IL 61761-2195
Mailing Address1604 Visa Dr # 1Normal, IL 61761-2195
Phone(309) 454-1100
Organization SubpartYesParent: Definitive Neurodiagnostics, Llc
Authorized OfficialJohn G AtwaterOwner · (309) 454-1100
Enumeration DateJanuary 30, 2015
✔ NPI 1629468541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · ElectroneurodiagnosticTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZE0600X
License✔ Licensed in IL · 036100906
1604 VISA DR # 1, Normal, IL 61761
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEFINITIVE NEURODIAGNOSTICS, LLC TECHNICAL SERVICES
Specialist/Technologist, Other (Electroneurodiagnostic)
1604 VISA DR # 1
NORMAL, IL 61761
McLean County (309) 454-1100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Definitive Neurodiagnostics, LLC Professional Services's NPI number?

The NPI number for Definitive Neurodiagnostics, LLC Professional Services is 1629468541. It was assigned to this organization in the NPPES registry on January 30, 2015.

Where is Definitive Neurodiagnostics, LLC Professional Services located?

Definitive Neurodiagnostics, LLC Professional Services is located at 1604 Visa Dr # 1, Normal, IL 61761. The listed phone number is (309) 454-1100.

What is Definitive Neurodiagnostics, LLC Professional Services's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Electroneurodiagnostic, with taxonomy code 246ZE0600X.

When was this NPI record last updated?

The NPPES record for Definitive Neurodiagnostics, LLC Professional Services was last updated on January 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.