| NPI | 1043783699 |
|---|---|
| Former Legal Business Name | ADVANCED NEURO PAIN CLINIC INC |
| Entity Type | Organization |
| Authorized Contact | GIOVANNI CHAVES Manager 773-276-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-02-18 |