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