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CHICAGO REGENERATIVE MEDICAL CENTER CORPORATION NPI 1275186033


NPI Information

NPI: 1275186033
Provider Name: CHICAGO REGENERATIVE MEDICAL CENTER CORPORATION
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
4149 W 26TH ST
CHICAGO, IL
ZIP 60623
Phone: (877) 542-1110
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CHICAGO REGENERATIVE MEDICAL CENTER CORPORATION is a pain medicine physical medicine rehabilitation in Chicago, IL. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. CHICAGO REGENERATIVE MEDICAL CENTER CORPORATION NPI is 1275186033. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4149 W 26TH ST
CHICAGO, IL
ZIP 60623-314
Phone: (877) 542-1110

The provider's authorized official is Vincent Domingo .
The authorized official title is Ceo and has the following contact phone number (773) 562-2632.

The enumeration date for this NPI number is 7/22/2019 and was last updated on 5/26/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081P2900XPhysical Medicine & RehabilitationPain MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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