# WINDY CITY PAIN RELIEF, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023586617
- **Authorized official:** DR. SHANELE NICHOLE MCGOWAN MD (PROVIDER, SHAREHOLDER)
- **Authorized official phone:** (312) 560-8061

## Contact information

- **Practice address:** 5571 W 95TH ST, OAK LAWN, IL 60453-2356
- **Practice address phone:** (708) 972-9695
- **Practice address fax:** (708) 401-0194
- **Mailing address:** PO BOX 16008, CHICAGO, IL 60616-0001
- **Mailing address phone:** (708) 972-9695
- **Mailing address fax:** (708) 576-8491

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/13/2018
- **Last updated:** 12/27/2019