| NPI | 1982986790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY F KIOKEMEISTER President 1847-894-8176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL 0360866579) |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2011-09-16 |