| NPI | 1790173730 |
|---|---|
| Doing Business As | CHICAGO CENTER FOR MYOFASCIAL PAIN RELIEF |
| Entity Type | Organization |
| Authorized Contact | MARY BIANCALANA Owner 773-628-7654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 227.000301) |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2014-12-29 |