NPI | 1518355239 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH TUMAN President 224-880-6563 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Additional Taxonomies | 103TC0700X Psychologist, Clinical |
Enumeration Date | 2015-01-05 |
Last Update Date | 2023-08-04 |