# INTERVENTIONAL PAIN MEDICINE OF CHICAGO SC

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

## Provider details

- **NPI number:** 1144844036
- **Authorized official:** DR. IRINA O DUDAR MD (DIRECTOR)
- **Authorized official phone:** (847) 972-2202

## Contact information

- **Practice address:** 4433 W TOUHY AVE STE 235, LINCOLNWOOD, IL 60712-1830
- **Practice address phone:** (847) 972-2202
- **Practice address fax:** (812) 961-5829
- **Mailing address:** 2800 N LAKE SHORE DR APT 3609, CHICAGO, IL 60657-6254
- **Mailing address phone:** (847) 972-2202
- **Mailing address fax:** (812) 961-5829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/05/2020
- **Last updated:** 06/08/2020