NPI 1003063108

Medicos Pain & Surgical Specialists, S.C.

Organisation Pain Medicine Physician Chicago, IL

Practice location

Address: 712 N Dearborn St, Chicago, IL 60654-3818
Phone: (773) 283-3131
Fax: (773) 283-3610
Mailing address: 4176 W Montrose Ave, Chicago, IL 60641-2161

Authorised official

Name: Derrick D. Wallery
Title: Manager
Phone: (773) 283-3131

Registered specialties

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X

Other Pain Medicine providers in Illinois →

Registry record

NPI: 1003063108
Entity type: Organization
NPI issued: 20 Aug 2008
Record last updated: 20 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.