Organization
CHICAGOLAND PAIN MANAGEMENT INSTITUTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORAN TUBIC MD (SOLE OWNER)
(630) 312-4562
Entity
Organization
Contact information
Practice address
420 S. SCHMIDT ROAD, STE. 240, BOLINGBROOK, IL 60440-2634
(630) 312-4562
(630) 312-6651
Mailing address
420 S. SCHMIDT ROAD, STE. 110, BOLINGBROOK, IL 60440-1737
(630) 312-4562
(630) 312-6651
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
IL
Other
Enumeration date
09/12/2012
Last updated
08/07/2019
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