Organization
ILLINOIS PAIN MANAGEMENT S C
Active
Organization
ILLINOIS PAIN MANAGEMENT S C
Active
Other names
HOLISTIC PAIN CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNEELA HARSOOR M.D. (PRESIDENT)
(847) 912-1566
Entity
Organization
Contact information
Practice address
2315 E 93RD ST, SUITE 237, CHICAGO, IL 60617-3936
(773) 731-0500
(312) 277-7333
Mailing address
PO BOX 3307, OAK BROOK, IL 60522-3307
(630) 887-9233
(630) 887-9234
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
IL
208VP0014X
Interventional Pain Medicine Physician
Primary
—
IL
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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