# NORTH SUBURBAN PAIN AND SPINE CENTER LLC

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

## Provider details

- **NPI number:** 1770114290
- **Authorized official:** MELISSA M RICE (ADMINSTRATOR)
- **Authorized official phone:** (224) 500-3339

## Contact information

- **Practice address:** 9700 GOLF RD, DES PLAINES, IL 60016
- **Practice address phone:** (773) 752-6340
- **Mailing address:** 9700 GOLF RD, DES PLAINES, IL 60016
- **Mailing address phone:** (847) 450-0881
- **Mailing address fax:** (847) 789-7338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/03/2020
- **Last updated:** 08/31/2021