Organization
JOLIET PAIN CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT RICHARD ANDERSON (PRACTICE ADMINISTRATOR)
(630) 598-2600
Entity
Organization
Contact information
Practice address
2121 ONEIDA ST, #304, JOLIET, IL 60435
(815) 730-6800
(815) 730-6868
Mailing address
8255 LEMONT RD, STE 200, DARIEN, IL 60561-1800
(630) 598-2624
(630) 598-2674
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
2084N0400X
Neurology Physician
—
—
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9932041
BCBS
IL
Enumeration date
08/31/2006
Last updated
09/11/2025
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