Organization
COMPREHENSIVE PAIN CARE CENTER INC
Active
Other names
COMPREHENSIVE PAIN CARE CENTER INC
Organization subpart
No
Provider details
NPI number
Authorized official
AZZAM M ALKHUDARI MD (OWNER)
(708) 634-2627
Entity
Organization
Contact information
Practice address
5669 W 95TH ST, OAK LAWN, IL 60453-2382
(708) 634-2627
(630) 246-3166
Mailing address
8S180 S VINE ST, BURR RIDGE, IL 60527-5542
(708) 479-6522
(708) 286-6461
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
036113149
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036113149
—
IL
Enumeration date
12/04/2013
Last updated
10/25/2024
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