| NPI | 1629481940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAVEEN TIPIRNENI Member 773-512-3947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL 036118887) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2014-06-04 |