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Contact Information

SUBURBAN PAINCARE CENTER P.C.
535 S WASHINGTON ST
STE 22
NAPERVILLE, IL60540-6795
 Phone: 630-810-0451
 Fax: 877-446-3870
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Pain Medicine

2084P2900X 86 Physician/Neuropsychiatry
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for SUBURBAN PAINCARE CENTER P.C.

NPI # 1255443222
LBN Legal business name SUBURBAN PAINCARE CENTER P.C.
Authorized official ELTON DIXON - (OWNER/PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 08/31/2006
Last updated 09/05/2014 - About 12 years ago
Identifiers
IL Other 1633419 BCBS PROVIDER 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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