| NPI | 1124702287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDOLPH Y. CHANG Cmo 773-398-7791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2023-06-09 |
| Last Update Date | 2023-06-09 |