Organization
CHICAGO PAIN AND REHABILITATION CLINIC P.C.
Active
Other names
Chicago Pain and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID YOUNG SIK KIM (MEDICAL DIRECTOR)
(847) 763-8010
Entity
Organization
Contact information
Practice address
7300 N CICERO AVE, LINCOLNWOOD, IL 60712-1641
(847) 763-8010
Mailing address
7300 N CICERO AVE, LINCOLNWOOD, IL 60712-1641
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
366760
MEDICARE PTAN
—
Enumeration date
02/09/2009
Last updated
03/04/2009
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