Organization
EQUINOX MEDICAL AND PAIN MANAGEMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL ROHACEK (EXECUTIVE MANAGER)
(708) 705-7109
Entity
Organization
Contact information
Practice address
7900 N MILWAUKEE AVE STE 2-29, NILES, IL 60714-3237
(708) 705-7109
(708) 788-1942
Mailing address
7900 N MILWAUKEE AVE STE 2-29, NILES, IL 60714-3237
(708) 705-7109
(708) 788-1942
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036-108386
IL
Other
Enumeration date
12/07/2012
Last updated
12/07/2012
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