| NPI | 1720303605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARCHANA WAGLE Owner 847-615-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL 036100676) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036100676) |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2010-07-15 |