Organization
ILLINOIS PAIN TREATMENT INSTITUTE, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHADI ISKANDAR YAACOUB MD (MEDICAL DIRECTOR)
(847) 289-8822
Entity
Organization
Contact information
Practice address
650 E DEVON AVE STE 152, ITASCA, IL 60143-3136
(847) 289-8822
(847) 289-0815
Mailing address
431 SUMMIT ST, ELGIN, IL 60120-3805
(847) 289-8822
(847) 289-0815
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
07/07/2023
Last updated
04/21/2025
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