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Contact Information

COMPREHENSIVE PAIN & REHABILITATION CENTER P C
7300 N CICERO AVE
LINCOLNWOOD, IL60712-1641
 Phone: 847-763-8010
 Fax: 847-763-8012
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Chiropractor

111N00000X 35 Chiropractic
 

Neuromuscular Medicine

2081N0008X 25 Physician/Physical Medicine and Rehabilitation
 

Physical Medicine & Rehabilitation

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

NPI Profile & details for COMPREHENSIVE PAIN & REHABILITATION CENTER P C

NPI # 1437476702
LBN Legal business name COMPREHENSIVE PAIN & REHABILITATION CENTER P C
Authorized official EDWARD KIM - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/27/2010
Last updated 04/27/2010 - About 16 years ago
Identifiers
IL License # 036.056212
IL License # 038008098
IL License # 038011280
IL License # 336.057488
Other 366760 MEDICARE PTAN
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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