NPI 1124532593

Chicago Pain Medicine Center

Organisation Interventional Pain Medicine Physician Chicago, IL

Practice location

Address: 6307 S Stewart Ave STE 205, Chicago, IL 60621-3116
Phone: (773) 868-6824
Fax: (773) 868-6828
Mailing address: 1044 N Francisco Ave STE 404, Chicago, IL 60622-2743

Authorised official

Name: James R Diesfeld
Title: President
Phone: (773) 868-6824

Registered specialties (2)

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence 036.086023 (IL)

Other Pain Medicine providers in Illinois →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Registry record

NPI: 1124532593
Entity type: Organization
NPI issued: 21 Nov 2017
Record last updated: 9 Jul 2020

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.