Organization
COMPREHENSIVE PAIN CARE SC
Active
Organization
COMPREHENSIVE PAIN CARE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY S CAROBENE M.D. (PRESIDENT)
(815) 363-8617
Entity
Organization
Contact information
Practice address
71 W 156TH ST, SUITE 205, HARVEY, IL 60426-4260
(708) 596-3344
(708) 596-3432
Mailing address
PO BOX 5986, CAROL STREAM, IL 60197-5986
(847) 677-6410
(847) 677-6420
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
036074517
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619176
BLUE SHIELD #
IL
01
—
CG7161
RAILROAD MEDICARE
IL
Enumeration date
08/25/2006
Last updated
10/01/2009
Update your record
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