| NPI | 1538606470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTE GRIGGS Director 312-647-5085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2017-01-30 |