CHICAGO PAIN MEDICINE CENTER HME and Services Provider License verification

Business Entity

NOT RENEWED

License Type

HME and Services Provider

Description

HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER

License Number

203002040

License Status

NOT RENEWED

Business

Business Name

CHICAGO PAIN MEDICINE CENTER

Original Issue Date

01/28/2019

Effective Date

01/28/2019

Expiration Date

03/31/2021

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2021