| NPI | 1326671702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY MARK DELIZO President 773-977-2101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 208D00000X General Practice |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |