| NPI | 1164940813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD CERULLO President 312-442-0431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2022-07-21 |