# PAIN TREATMENT CENTERS OF ILLINOIS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275683419
- **Authorized official:** DR. FARIS F ABUSHARIF MD (OWNER)
- **Authorized official phone:** (708) 460-9000

## Contact information

- **Practice address:** 16514 SOUTH 106TH COURT, ORLAND PARK, IL 60467
- **Practice address phone:** (708) 460-9000
- **Practice address fax:** (708) 460-0094
- **Mailing address:** 16514 SOUTH 106TH COURT, ORLAND PARK, IL 60467
- **Mailing address phone:** (708) 460-9000
- **Mailing address fax:** (708) 460-0094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | IL | Yes |

## Other

- **Enumeration date:** 01/11/2007
- **Last updated:** 07/21/2022