| NPI | 1568156545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA SIROIS Practice Administrator 630-794-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2023-06-05 |