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Contact Information

CHICAGO PAIN CENTER
6224 S PULASKI RD
CHICAGO, IL60629-4610
 Phone: 773-735-8200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Chiropractor

111N00000X 35 Chiropractic
 

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for CHICAGO PAIN CENTER · (Female)

NPI # 1255662417
Status Active
Credentials
Entity Individual
Enumeration date 01/27/2010
Last updated 01/27/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 028007050
  • IL License # 036111230
  • IL License # 036113839
  • IL License # 038009053
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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