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Organization

ILLINOIS PAIN TREATMENT INSTITUTE, LTD

Active
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Organization

ILLINOIS PAIN TREATMENT INSTITUTE, LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHADI ISKANDAR YAACOUB MD (MEDICAL DIRECTOR)
(847) 289-8822
Entity
Organization

Contact information

Practice address
431 SUMMIT, ELGIN, IL 60120
(847) 289-8822
(847) 289-0815
Mailing address
431 SUMMIT, ELGIN, IL 60120
(847) 289-8822
(847) 289-0815

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1619144
BC
01
CA 2780
RAILROAD MEDICARE
IL
01
CM 4844
RAILROAD MEDICARE
IL
01
DA 3105
RAILROAD MEDICARE
IL
Enumeration date
10/31/2006
Last updated
04/21/2025
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