Organization
ADVANCED NEURO PAIN CLINIC INC
Active
Other names
ADVANCED NEURO PAIN CLINIC INC
Organization subpart
No
Provider details
NPI number
Authorized official
GIOVANNI CHAVES (MANAGER)
(773) 276-3333
Entity
Organization
Contact information
Practice address
4009 W FULLERTON AVE, CHICAGO, IL 60639-2103
(773) 276-3333
(773) 276-0333
Mailing address
9314 S OCTAVIA AVE, BRIDGEVIEW, IL 60455-2110
(773) 719-7744
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/07/2019
Last updated
02/18/2019
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