| NPI | 1316147242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASIM KHAN Member 312-315-0024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AZ 36668) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: AZ 36668) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2009-07-21 |