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Organization
IMMEDIATE PAIN CARE OF OAK LAWN LLC
Active
Organization
IMMEDIATE PAIN CARE OF OAK LAWN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STUART BERNSEN (CEO)
(847) 912-2411
Entity
Organization
Contact information
Practice address
5116 W 95TH ST, OAK LAWN, IL 60453-2458
(708) 581-7070
(630) 701-1007
Mailing address
2625 BUTTERFIELD RD, STE 301N, OAK BROOK, IL 60523-1234
(630) 468-1824
(630) 701-1007
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/23/2014
Last updated
02/05/2014
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