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Diamond Headache Clinic Ltd
Specialist in Chicago, Illinois
NPI 1912027665

Diamond Headache Clinic Ltd is a Specialist based in Chicago, IL. Diamond Headache Clinic Ltd practices in Chicago, IL. The NPI Number for Diamond Headache Clinic Ltd is 1912027665 and holds a License No. (Illinois).

The current practice location address for Diamond Headache Clinic Ltd is 1460 N Halsted St Ste 501, Chicago, IL and can be reached out via phone at 773-388-6390 and via fax at 312-867-7101.

Location: 1460 N Halsted St Ste 501, Chicago, IL, 60642-2615
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912027665
Provider Name
Diamond Headache Clinic Ltd
Credential
Provider Entity Type
Organization
Address
1460 N Halsted St Ste 501, Chicago, IL, 60642-2615
Phone Number
773-388-6390
Fax Number
312-867-7101
Provider Enumeration Date
03/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1616611 01 IL BCBS
institution
Provider Business Practice Location Address Details
Address
1460 N Halsted St Ste 501
City
Chicago
State
Illinois
Zip
60642-2615
Phone Number
773-388-6390
Fax Number
312-867-7101
person
Provider Business Mailing Address Details
Address
1460 N Halsted St Ste 501
City
Chicago
State
Illinois
Zip
60642-2615
Phone Number
773-388-6390
Fax Number
312-867-7101
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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