Organization
ART OF PAIN CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUADA SPIRTOVIC MD (OWNER)
(312) 646-9727
Entity
Organization
Contact information
Practice address
8012 S CRANDON AVE, CHICAGO, IL 60617-1124
(773) 768-0810
(773) 356-5186
Mailing address
PO BOX 570, LAKE FOREST, IL 60045-0570
(224) 231-4363
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
036108247
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036108247
—
IL
Enumeration date
10/30/2017
Last updated
10/30/2017
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