# COMPREHENSIVE PAIN & REHABILITATION CENTER P C

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

## Provider details

- **NPI number:** 1437476702
- **Authorized official:** EDWARD KIM (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (773) 816-0141

## Contact information

- **Practice address:** 7300 N CICERO AVE, LINCOLNWOOD, IL 60712-1641
- **Practice address phone:** (847) 763-8010
- **Practice address fax:** (847) 763-8012
- **Mailing address:** 7300 N CICERO AVE, LINCOLNWOOD, IL 60712-1641
- **Mailing address phone:** (847) 763-8010
- **Mailing address fax:** (847) 763-8012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 038008098 | IL | — |
| 111N00000X | Chiropractor | 038011280 | IL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 336.057488 | IL | — |
| 2081N0008X | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | 036.056212 | IL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 036.056212 | IL | Yes |

## Other

- **Enumeration date:** 04/27/2010
- **Last updated:** 04/27/2010