Chicago Pain Medicine Center
Pain Medicine, Interventional Pain Medicine in Chicago, IL. Organization (NPI-2).
NPI number1871190827
StatusActive
Last updated in NPPESOct 2, 2020
Details
- NPI
- 1871190827
- Entity type
- Organization (NPI-2)
- Legal business name
- Chicago Pain Medicine Center
- Organization subpart
- No
- Enumeration date
- Oct 2, 2020
- Certification date
- Oct 2, 2020
- Last updated
- Oct 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Practice location
8012 S Crandon AveChicago, IL 60617-1124
Phone 773-868-6824 · Fax 773-868-6828
Mailing address
1044 N Francisco Ave Ste 404Chicago, IL 60622-2743
Phone 738-686-8247
Authorized official
James R Diesfeld
Director
7738686824
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All 56 Interventional Pain Medicine Physician providers in Chicago · All 81,422 providers in Chicago
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