Organization
PAIN TREATMENT CENTERS OF ILLINOIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARIS F ABUSHARIF MD (OWNER)
(708) 460-9000
Entity
Organization
Contact information
Practice address
16514 SOUTH 106TH COURT, ORLAND PARK, IL 60467
(708) 460-9000
(708) 460-0094
Mailing address
16514 SOUTH 106TH COURT, ORLAND PARK, IL 60467
(708) 460-9000
(708) 460-0094
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20562582
TAX ID NUMBER
IL
Enumeration date
01/11/2007
Last updated
07/21/2022
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