| NPI | 1801146303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORAN TUBIC Sole Owner 630-312-4562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2019-08-07 |