| NPI | 1255662417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK COHEN President 773-735-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL 036111230) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 028007050) |
| 111N00000X Chiropractor (Licence: IL 038009053) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IL 036113839) | |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2010-01-27 |