Organization
BEHAVIORAL PAIN MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AJEET S CHARATE LCPC, BCN, CADC (MANAGER / CLINICIAN)
(815) 931-0047
Entity
Organization
Contact information
Practice address
1220 HOBSON ROAD, SUITE 244, NAPERVILLE, IL 60540
(815) 931-0047
Mailing address
12901 NORWICH ST, PLAINFIELD, IL 60585-7908
(815) 230-4707
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.005140
IL
225100000X
Physical Therapist
070009590
IL
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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