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Organization

CHICAGO PAIN MEDICINE CENTER

Active
Parent organization
CHICAGO PAIN MEDICINE CENTER
Other names
Chicago Pain Medicine Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
CHICAGO PAIN MEDICINE CENTER
Authorized official
JAMES ROBERT DIESFELD MD (PAIN MANAGEMENT SPECIALIST)
(773) 868-6824
Entity
Organization

Contact information

Practice address
1044 N FRANCISCO AVE, CHICAGO, IL 60622
(773) 868-6824
(773) 868-6828
Mailing address
1044 N FRANCISCO AVE STE 203, CHICAGO, IL 60622-2743
(773) 868-6824
(773) 868-6828

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
07/03/2006
Last updated
04/23/2024
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