| NPI | 1154374767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAKI ANWAR Doctor 815-464-7212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL 036090578) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2010-12-21 |