Organization Name: | CHICAGO PAIN INSTITUTE S C |
NPI Number: | 1023488087 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPH DAVID BELMONTE (PRESIDENT) |
Mailing Address: | 665 W North Ave Ste 101 Lombard |
State: | IL US |
Postal Code: | 601481134 |
Phone Number: | 7082447246 |
Fax Number: | 7083934099 |
NPI Enumeration Date: | 10/03/2015 |
NPI Last Update Date: | 04/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP3300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Pain |
Taxonomy Definition: |