Organization
CHICAGO LAND PAIN CENTERS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON HUI DC (OWNER)
(773) 767-3822
Entity
Organization
Contact information
Practice address
202 S IL ROUTE 31, MCHENRY, IL 60050-5415
(815) 344-1192
(815) 344-8070
Mailing address
202 SOUTH IL ROUTE 31, MCHENRY, IL 60050
(815) 344-1192
(815) 344-8070
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
174400000X
Specialist
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/01/2013
Last updated
02/12/2015
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