| NPI | 1598521312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHISH SUD Owner 630-854-0899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine |
| Additional Taxonomies | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2024-02-28 |