Organization
ADVANCED SPINE AND PAIN SPECIALISTS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISHNA C CHUNDURI MD (PRESIDENT)
(312) 952-2226
Entity
Organization
Contact information
Practice address
6524 W ARCHER AVE, CHICAGO, IL 60638-2400
(773) 717-0890
(866) 585-0302
Mailing address
6524 W ARCHER AVE, CHICAGO, IL 60638-2400
(773) 717-0890
(866) 585-0302
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
10/02/2012
Last updated
06/17/2020
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