Organization
HOLISTIC SCIENCE PAIN CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASAD AKRAM CHEEMA MD (OWNER)
(815) 725-7200
Entity
Organization
Contact information
Practice address
105 129TH INFANTRY DRIVE, JOLIET, IL 60435
(815) 725-7200
Mailing address
105 129TH INFANTRY DRIVE, JOLIET, IL 60435
(815) 725-7200
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036107324
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
036107324
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036107324
—
IL
Enumeration date
07/15/2008
Last updated
04/21/2010
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