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Organization
PRAIRIESHORE PAIN CENTER, P.C.
Active
Organization
PRAIRIESHORE PAIN CENTER, P.C.
Active
Other names
Illinois Pain Center, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ALI CANER M.D. (OWNER, CEO)
(847) 883-0077
Entity
Organization
Contact information
Practice address
185 MILWAUKEE AVE, SUITE 230, LINCOLNSHIRE, IL 60069-3010
(847) 883-0077
(847) 883-0078
Mailing address
185 MILWAUKEE AVE, SUITE 230, LINCOLNSHIRE, IL 60069-3010
(847) 883-0077
(847) 883-0078
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
036-097308
IL
Other
Enumeration date
01/18/2010
Last updated
12/20/2021
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