# EQUINOX MEDICAL AND PAIN MANAGEMENT CENTER

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

## Provider details

- **NPI number:** 1831434430
- **Authorized official:** MR. PAUL ROHACEK (EXECUTIVE MANAGER)
- **Authorized official phone:** (708) 705-7109

## Contact information

- **Practice address:** 7900 N MILWAUKEE AVE STE 2-29, NILES, IL 60714-3237
- **Practice address phone:** (708) 705-7109
- **Practice address fax:** (708) 788-1942
- **Mailing address:** 7900 N MILWAUKEE AVE STE 2-29, NILES, IL 60714-3237
- **Mailing address phone:** (708) 705-7109
- **Mailing address fax:** (708) 788-1942

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 036-108386 | IL | Yes |

## Other

- **Enumeration date:** 12/07/2012
- **Last updated:** 12/07/2012
