Whalio Doctors

NPI 1053588079

The Pain Center of Illinois INC.

Organisation Pain Medicine (Anesthesiology) Physician Chicago, IL

Practice location

Address
2041 W Division St, Chicago, IL 60622-8521
Phone
(312) 624-8364
Fax
(312) 929-3323

Authorised official

Name
Neema Bayran
Title
C.E.O.
Phone
(312) 593-1580

Registered specialties (2)

Pain Medicine (Anesthesiology) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207LP2900X
Specialist
Other Service Providers Taxonomy 174400000X Licence 036-103729 (IL)

Registry record

NPI
1053588079
Entity type
Organization
NPI issued
8 May 2008
Record last updated
24 Sep 2024

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.