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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

NPI # 1255662417
LBN Legal business name CHICAGO PAIN CENTER
Authorized official MARK COHEN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/27/2010
Last updated 01/27/2010 - About 16 years ago
Identifiers
IL License # 028007050
IL License # 036111230
IL License # 036113839
IL License # 038009053
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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