| NPI | 1275774044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIKRAM B PATEL Owner 847-854-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL 036099069) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036099069) |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2009-03-09 |