| NPI | 1902016561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZA DIACONESCU Medical Director 1847-970-0885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036-084312) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IL 036-084312) |
| 208D00000X General Practice (Licence: IL 036-084312) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL 036-084312) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2014-11-25 |