| NPI | 1295811479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN V PRUNSKIS Medical Staff President 847-289-8822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2008-01-22 |