Organization
PAIN NET MEDICAL GROUP
Active
Organization
PAIN NET MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC STRONGIN D.C. (BUSINESS ADMINISTRATION)
(773) 878-7909
Entity
Organization
Contact information
Practice address
5252 N WESTERN AVE, CHICAGO, IL 60625-2448
(773) 878-7909
(773) 878-2311
Mailing address
5252 N WESTERN AVE, CHICAGO, IL 60625-2448
(773) 878-7909
(773) 878-2311
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1633119
BLUE CROSS BLUE SHEILD
—
Enumeration date
03/21/2007
Last updated
08/22/2020
Update your record
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