# ELITE PAIN LTD

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

## Provider details

- **NPI number:** 1386948321
- **Authorized official:** ALANNA JEFFERSON CPC (CODER)
- **Authorized official phone:** (312) 882-7578

## Contact information

- **Practice address:** 8630 S PULASKI RD, CHICAGO, IL 60652-3633
- **Practice address phone:** (773) 762-8132
- **Practice address fax:** (773) 762-8133
- **Mailing address:** 13011 RIDGEWOOD DR, PALOS PARK, IL 60464-2512

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 01/05/2011
- **Last updated:** 01/05/2011