| NPI | 1386948321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALANNA JEFFERSON Coder 312-882-7578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2011-01-05 |