is a Pain Medicine in Orland Park, Illinois. practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for is 1275683419. The last update date is .
's current location address is 16514 South 106th Court, Orland Park, Illinois. You can contact this provider via phone number 7084609000 and fax number 7084600094. The mailing address for is 16514 South 106th Court, Orland Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 16514 South 106th Court, Orland Park, Illinois |
| Phone Number | 7084609000 |
| Fax Number | 7084600094 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1275683419 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 16514 South 106th Court |
|---|---|
| City | Orland Park |
| State | Illinois (IL) |
| Post Code | 60467 |
| Phone Number | 7084609000 |
| Fax Number | 7084600094 |
Provider's Primary Taxonomy Detail
| Speciality | Pain Medicine |
|---|---|
| Taxonomy | 207Lp2900X |
|
Definition: An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20562582 | IL | TAX ID NUMBER |
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