CHICAGO PAIN MEDICINE CENTER
NPI: 1669429890
· CHICAGO, IL 60622
· Durable Medical Equipment & Medical Supplies
· NPI assigned 05/31/2006
$107.76
Total Medicaid Paid
Provider Details
| Authorized Official | DIESFELD, JAMES (PRESIDENT) |
| NPI Enumeration Date | 05/31/2006 |
Related Entities
Other providers sharing the same authorized official: DIESFELD, JAMES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$107.76 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80305 |
|
12 |
12 |
$107.76 |