| NPI | 1558920579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARIS ABUSHARIF Owner Physician 708-460-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-13 |