Organization
INTERVENTIONAL PAIN MEDICINE OF CHICAGO SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRINA O DUDAR MD (DIRECTOR)
(847) 972-2202
Entity
Organization
Contact information
Practice address
4433 W TOUHY AVE STE 235, LINCOLNWOOD, IL 60712-1830
(847) 972-2202
(812) 961-5829
Mailing address
2800 N LAKE SHORE DR APT 3609, CHICAGO, IL 60657-6254
(847) 972-2202
(812) 961-5829
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
06/05/2020
Last updated
06/08/2020
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