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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