Organization
ILLINOIS PAIN AND THERAPY ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEEMA BAYRAN MD (CEO)
(312) 624-8364
Entity
Organization
Contact information
Practice address
5401 S WENTWORTH AVE, CHICAGO, IL 60609-6300
(312) 624-8364
(312) 929-3323
Mailing address
5401 S WENTWORTH AVE, CHICAGO, IL 60609-6300
(312) 624-8364
(312) 929-3323
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/29/2019
Last updated
03/19/2021
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