Organization
PAIN MANAGEMENT INSTITUTE CORP
Active
Organization
PAIN MANAGEMENT INSTITUTE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZAKI ANWAR MD (DOCTOR)
(815) 464-7212
Entity
Organization
Contact information
Practice address
10181 W LINCOLN HWY, FRANKFORT, IL 60423-1274
(815) 464-7212
Mailing address
4985 DEPARTMENT, CAROL STREAM, IL 60122-5314
(815) 464-7212
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
036090578
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0163014
BLUE CROSS
IL
05
—
036090578
—
IL
01
—
P00025045
RR MEDICARE
IL
Enumeration date
05/18/2006
Last updated
12/21/2010
Update your record
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