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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

NPI Number 1205090578
LBN Legal business name HOLISTIC SCIENCE PAIN CLINIC LLC
Authorized official ASAD CHEEMA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/15/2008
Last updated 04/21/2010 - About 16 years ago
Identifiers
IL License # 036107324
IL Medicaid 036107324
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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