NPI | 1619071214 |
---|---|
Doing Business As | PREMIER RADIOLOGY PAIN MANAGEMENT CENTER |
Entity Type | Organization |
Authorized Contact | NAOMI M CASSIN Assoc. VP, Provider Enrollment 312-724-8477 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2006-09-12 |
Last Update Date | 2023-03-17 |