| NPI | 1417208331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISHNA C CHUNDURI President 312-952-2226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 225100000X Physical Therapist | |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2020-06-17 |