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Organization
THE PAIN CENTER OF ILLINOIS INC.
Active
Organization
THE PAIN CENTER OF ILLINOIS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEEMA BAYRAN MD (C.E.O.)
(312) 593-1580
Entity
Organization
Contact information
Practice address
2041 W DIVISION ST, CHICAGO, IL 60622-8521
(312) 624-8364
(312) 929-3323
Mailing address
2041 W DIVISION ST, CHICAGO, IL 60622-8521
(312) 624-8364
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036-103729
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
05/08/2008
Last updated
09/24/2024
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