| NPI | 1194908863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIKRAM B PATEL Owner / Provider 847-426-7516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL '036099069) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036099069) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2009-03-04 |