Organization
TLC PAIN MANAGEMENT & SLEEP RESTORATION SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE DAVID KELLY MD (OWNER)
(847) 359-9432
Entity
Organization
Contact information
Practice address
1883 HICKS RD, STE A, ROLLING MEADOWS, IL 60008-1254
(847) 359-9432
(888) 687-1245
Mailing address
1883 HICKS RD, STE A, ROLLING MEADOWS, IL 60008-1254
(847) 359-9432
(888) 687-1245
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
036078457
IL
Other
Enumeration date
06/08/2007
Last updated
02/10/2018
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