| NPI | 1063632917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN H DEHELEAN President 773-205-1418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IL 036-084312) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL 036-084312) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-10-01 |