| NPI | 1902130263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEON HUDDLESTON Medical Director 312-399-2165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: IL 036113839) |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2009-09-18 |