NPI: 1255380184 · CHICAGO, IL 60657 · Interventional Pain Medicine Physician · NPI assigned 05/08/2006
| Authorized Official | LUTZ, KENDALL (BILLING MANAGER) |
| NPI Enumeration Date | 05/08/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 27 | $0.00 |
| 2023 | 38 | $562.39 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00142 | 65 | 50 | $562.39 |