Organization
PAINLESS MEDICAL PRACTICE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAROSLAV TYMOUCH (PRESIDENT)
(773) 697-7946
Entity
Organization
Contact information
Practice address
2515 W CHICAGO AVE, CHICAGO, IL 60622-4516
(773) 697-7946
(312) 864-9542
Mailing address
2515 W CHICAGO AVE, CHICAGO, IL 60622-4516
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
036116592
IL
Other
Enumeration date
08/10/2010
Last updated
06/09/2016
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