| NPI | 1134889975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI TABARROKI Physician 312-852-0912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2021-12-21 |