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Organization
ELITE PAIN LTD
Active
Organization
ELITE PAIN LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALANNA JEFFERSON CPC (CODER)
(312) 882-7578
Entity
Organization
Contact information
Practice address
8630 S PULASKI RD, CHICAGO, IL 60652-3633
(773) 762-8132
(773) 762-8133
Mailing address
13011 RIDGEWOOD DR, PALOS PARK, IL 60464-2512
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
NULL
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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