| NPI | 1992923304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY IVANKOVICH Director Of Pain Center 312-942-3135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology | |
| 208600000X Surgery | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |