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Organization

EQUINOX MEDICAL AND PAIN MANAGEMENT CENTER

Active
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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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