| NPI | 1619490885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA BACANI Credentialing Coordinator 630-794-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: IL 0426260610) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2022-07-21 |