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Organization
ADVANCED NEURO PAIN CLINIC INC
Active
Organization
ADVANCED NEURO PAIN CLINIC INC
Active
Other names
ADVANCED NEURO PAIN CLINIC INC
Organization subpart
No
Provider details
NPI number
Authorized official
GIOVANNI CHAVES (MANAGER)
(773) 276-3333
Entity
Organization
Contact information
Practice address
4009 W FULLERTON AVE, CHICAGO, IL 60639-2103
(773) 276-3333
(773) 276-0333
Mailing address
9314 S OCTAVIA AVE, BRIDGEVIEW, IL 60455-2110
(773) 719-7744
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/07/2019
Last updated
02/18/2019
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