# ADVANCED SPINE PAIN CLINICS OF CHICAGOLAND LLC

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

## Provider details

- **NPI number:** 1578941555
- **Authorized official:** DR. OSSAMA F ABDELLATIF MD (OWNER)
- **Authorized official phone:** (708) 788-7246

## Contact information

- **Practice address:** 1S210 SUMMIT AVE, OAKBROOK TERRACE, IL 60181-3933
- **Practice address phone:** (708) 788-7246
- **Practice address fax:** (708) 788-7247
- **Mailing address:** 1S210 SUMMIT AVE, OAKBROOK TERRACE, IL 60181-3933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 036108759 | IL | Yes |

## Other

- **Enumeration date:** 05/11/2015
- **Last updated:** 05/11/2015