| NPI | 1821429036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CAWLEY Manager 773-525-8744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 2084P2900X Psychiatry & Neurology, Pain Medicine | |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2013-12-13 |