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Organization
IMMEDIATE PAIN CARE OF FLOSSMOOR LLC
Active
Organization
IMMEDIATE PAIN CARE OF FLOSSMOOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STUART BERNSEN (CEO)
(630) 560-6506
Entity
Organization
Contact information
Practice address
3486 VOLLMER RD, OLYMPIA FIELDS, IL 60461-1018
(630) 560-4299
(630) 701-1007
Mailing address
7991 SOLUTIONS CTR, CHICAGO, IL 60677-7006
(630) 560-4299
(630) 701-1007
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/28/2014
Last updated
07/23/2014
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