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Organization
EQUINOX MEDICAL AND PAIN MANAGEMENT CENTER
Active
Organization
EQUINOX MEDICAL AND PAIN MANAGEMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL ROHACEK (EXECUTIVE MANAGER)
(708) 705-7109
Entity
Organization
Contact information
Practice address
7900 N MILWAUKEE AVE STE 2-29, NILES, IL 60714-3237
(708) 705-7109
(708) 788-1942
Mailing address
7900 N MILWAUKEE AVE STE 2-29, NILES, IL 60714-3237
(708) 705-7109
(708) 788-1942
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036-108386
IL
Other
Enumeration date
12/07/2012
Last updated
12/07/2012
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