Organization
CHICAGO PAIN MEDICINE CENTER
Active
Organization
CHICAGO PAIN MEDICINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES R DIESFELD MD (PRESIDENT)
(773) 868-6824
Entity
Organization
Contact information
Practice address
7531 S STONY ISLAND AVE, CHICAGO, IL 60649-3954
(773) 868-6824
(773) 868-6828
Mailing address
1044 N FRANCISCO AVE STE 404, CHICAGO, IL 60622-2743
(773) 868-6824
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036086023
—
IL
Enumeration date
10/02/2020
Last updated
10/02/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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