Provider Demographics
NPI:1780225953
Name:CHICAGO HEADACHE CENTER AND RESEARCH INSTITUTE LLC
Entity Type:Organization
Organization Name:CHICAGO HEADACHE CENTER AND RESEARCH INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:TORPHY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-935-1000
Mailing Address - Street 1:3000 N HALSTED ST STE 601
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-9269
Mailing Address - Country:US
Mailing Address - Phone:773-935-1000
Mailing Address - Fax:773-935-1000
Practice Address - Street 1:3000 N HALSTED ST STE 711
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-6185
Practice Address - Country:US
Practice Address - Phone:773-935-1000
Practice Address - Fax:773-938-0500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-30
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty