University Pain Physicians Llc

NPI 1518355239 - Psychologist - 103TC0700X

NPI Details
NPI 1518355239
Enumeration Date 01/05/2015
Last Updated 01/05/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name KENNETH KENNETH
Position PRESIDENT
Phone (312) 942-3138
Fax (312) 942-5773
Practice Location
1653 W CONGRESS PKWY # 735
JELKE ANESTHESIA DEPT
CHICAGO IL, 60612-3833, US
Phone (312) 942-3138
Fax (312) 942-5773
Business Location
1653 W CONGRESS PKWY
CHICAGO IL, 60612-3833, US
Phone (312) 342-3138
Fax (312) 942-5773
Toxanomy
Taxonomy Code 103TC0700X
License State
License Number
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According to our database, University Pain Physicians Llc NPI is 1518355239, taxonomy code is 103TC0700X University Pain Physicians Llc physically located at 1653 W Congress Pkwy # 735, Chicago IL, 60612-3833. NPI Number 1033115704 has the healthcare provider type.

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1518355239 NPI number is provided on an as is basis without warranty of any kind. 1518355239 is maintained by the National Plan & Provider Enumeration System. The contents of University Pain Physicians Llc are for informational purposes only.