# ILLINOIS PAIN AND NEUROPATHY CENTER LTD

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

## Provider details

- **NPI number:** 1770109142
- **Authorized official:** JEFFREY FORZLEY (OWNER)
- **Authorized official phone:** (630) 257-0550

## Contact information

- **Practice address:** 1192 WALTER ST STE C, LEMONT, IL 60439-2905
- **Practice address phone:** (630) 257-0550
- **Practice address fax:** (630) 257-0555
- **Mailing address:** 1192 WALTER ST STE C, LEMONT, IL 60439-2905
- **Mailing address phone:** (630) 257-0550
- **Mailing address fax:** (630) 257-0555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/22/2020
- **Last updated:** 06/22/2020