Southside Pain Relief Center INC

NPI #1710311170 in Oak Lawn, Illinois

Provider Information

NPI Number: 1710311170
Entity Type: Organization
Organization Name: Southside Pain Relief Center INC
Primary Specialty: Pain Medicine - Pain Medicine
Enumeration Date: Aug 21, 2013
Last Updated: Aug 21, 2013

Practice Location

Address: 5569 W 95TH ST
City: Oak Lawn
State: Illinois
ZIP Code: 60453-2356
Phone: (708) 717-5947

Authorized Official

Name: DR. VALENTINO BOTTI, D.C.
Title: PRESIDENT
Phone: (708) 717-5947

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pain Medicine - Pain Medicine — Pain Medicine	208VP0000X	Primary

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