Organization
THE PAIN & REHABILITATION CLINIC OF CHICAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
E RICHARD BLONSKY MD (OWNER / PHYSICIAN)
(312) 337-6661
Entity
Organization
Contact information
Practice address
640 N LASALLE ST, SUITE 610, CHICAGO, IL 60610-3781
(312) 337-6661
Mailing address
640 N LASALLE ST, SUITE 610, CHICAGO, IL 60610-3781
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
2084N0400X
Neurology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001619207
BCBS
IL
Enumeration date
05/26/2006
Last updated
09/11/2025
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