Organization
FOX VALLEY PAIN CENTER SERVICE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNDARARAJ R CHERALA M.D (PRESIDENT)
(847) 888-4432
Entity
Organization
Contact information
Practice address
1710 N RANDALL RD, 370, ELGIN, IL 60123-9400
(847) 888-4432
(847) 888-4436
Mailing address
507 WEXFORD CT, ST CHARLES, IL 60175-5655
(630) 584-8381
(630) 524-9018
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
036077595
IL
Other
Enumeration date
08/30/2006
Last updated
11/11/2010
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