Organization
FLOSSMOOR PAIN INSTITUTE AND SURGICAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZAKI ANWAR MD (CEO)
(815) 464-7212
Entity
Organization
Contact information
Practice address
19550 GOVERNORS HWY, SUITE 1400, FLOSSMOOR, IL 60422-2125
(708) 922-1902
(708) 922-1825
Mailing address
19550 GOVERNORS HWY, SUITE 1400, FLOSSMOOR, IL 60422-2125
(708) 922-1902
(708) 922-1825
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1636489
BLUE CROSS
IL
01
—
POO394804
RR MEDICARE
IL
Enumeration date
08/10/2006
Last updated
06/21/2018
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