Great Lakes Pain & Treatment Centers, Ltd

NPI #1598916660 in Lombard, Illinois

Provider Information

NPI Number
1598916660
Entity Type
Organization
Organization Name
Great Lakes Pain & Treatment Centers, Ltd
Primary Specialty
Psychiatry & Neurology - Neurology
Enumeration Date
Oct 7, 2008
Last Updated
Oct 7, 2008

Practice Location

Address
2200 S MAIN ST
Address 2
SUITE 214
ZIP Code
60148-5334
Phone
(630) 364-4114

Authorized Official

Name
DR. JONATHAN I WANG, MD
Title
PRESIDENT
Phone
(630) 364-4114

Specialties & Taxonomy Codes

Specialty
Psychiatry & Neurology - NeurologyNeurology

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