Organization
WINDY CITY PAIN RELIEF, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANELE NICHOLE MCGOWAN MD (PROVIDER, SHAREHOLDER)
(312) 560-8061
Entity
Organization
Contact information
Practice address
5571 W 95TH ST, OAK LAWN, IL 60453-2356
(708) 972-9695
(708) 401-0194
Mailing address
PO BOX 16008, CHICAGO, IL 60616-0001
(708) 972-9695
(708) 576-8491
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/13/2018
Last updated
12/27/2019
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