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Contact Information

PAIN TREATMENT CENTERS OF ILLINOIS, LLC
16514 SOUTH 106TH COURT
ORLAND PARK, IL60467
 Phone: 708-460-9000
 Fax: 708-460-0094
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for PAIN TREATMENT CENTERS OF ILLINOIS, LLC

NPI Number 1275683419
LBN Legal business name PAIN TREATMENT CENTERS OF ILLINOIS, LLC
Authorized official FARIS ABUSHARIF - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/11/2007
Last updated 07/21/2022 - About 4 years ago
Identifiers
IL Other 20562582 TAX ID NUMBER
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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