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Contact Information

HOLISTIC SCIENCE PAIN CLINIC LLC
105 129TH INFANTRY DRIVE
JOLIET, IL60435
 Phone: 815-725-7200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for HOLISTIC SCIENCE PAIN CLINIC LLC · (Female)

NPI # 1205090578
Status Active
Credentials
Entity Individual
Enumeration date 07/15/2008
Last updated 04/21/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 036107324
  • IL Medicaid 036107324
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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