| NPI | 1154777159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMEER SHAH President 224-880-6563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL 036129958) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2024-04-08 |