Organization
CHICAGO PAIN CENTER
Active
Organization
CHICAGO PAIN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK COHEN D.C. (PRESIDENT)
(773) 735-8200
Entity
Organization
Contact information
Practice address
6224 S PULASKI RD, CHICAGO, IL 60629-4610
(773) 735-8200
Mailing address
6224 S PULASKI RD, CHICAGO, IL 60629-4610
(773) 735-8200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
028007050
IL
111N00000X
Chiropractor
038009053
IL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
036113839
IL
208VP0014X
Interventional Pain Medicine Physician
Primary
036111230
IL
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
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