STRIVEMD WELLNESS & KETAMINE PLLC NPI 1336735562

NPI Information

STRIVEMD WELLNESS & KETAMINE PLLC is a pain medicine anesthesiology in Skokie, IL. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. STRIVEMD WELLNESS & KETAMINE PLLC NPI is 1336735562. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8707 SKOKIE BLVD STE 307
SKOKIE, IL
ZIP 60077-281
Phone: (847) 213-0990

The provider's authorized official is Danny Park .
The authorized official title is Md / Partner and has the following contact phone number (419) 509-3726.

The CLIA number assigned to this NPI record is 14D2201952 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/11/2020 and was last updated on 12/11/2020.

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:

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