Organization
THE PAIN CENTER OF ILLINOIS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEEMA BAYRAN MD (C.E.O.)
(312) 593-1580
Entity
Organization
Contact information
Practice address
2041 W DIVISION ST, CHICAGO, IL 60622-8521
(312) 624-8364
(312) 929-3323
Mailing address
2041 W DIVISION ST, CHICAGO, IL 60622-8521
(312) 624-8364
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036-103729
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
05/08/2008
Last updated
09/24/2024
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