Organization
AAA HEADACHE AND PAIN CLINIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAXIM GORELIK MD (PRESIDENT)
(916) 203-5795
Entity
Organization
Contact information
Practice address
1449 N MILWAUKEE AVE, LIBERTYVILLE, IL 60048-1310
(916) 203-5795
Mailing address
1449 N MILWAUKEE AVE, LIBERTYVILLE, IL 60048-1310
(916) 203-5795
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
036119222
IL
Other
Enumeration date
07/15/2008
Last updated
07/28/2008
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