# PAINLESS MEDICAL PRACTICE LTD

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

## Provider details

- **NPI number:** 1184939548
- **Authorized official:** DR. JAROSLAV TYMOUCH (PRESIDENT)
- **Authorized official phone:** (773) 697-7946

## Contact information

- **Practice address:** 2515 W CHICAGO AVE, CHICAGO, IL 60622-4516
- **Practice address phone:** (773) 697-7946
- **Practice address fax:** (312) 864-9542
- **Mailing address:** 2515 W CHICAGO AVE, CHICAGO, IL 60622-4516

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 036116592 | IL | Yes |

## Other

- **Enumeration date:** 08/10/2010
- **Last updated:** 06/09/2016
