Organization
IMMEDIATE PAIN CARE OF OAK LAWN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STUART BERNSEN (CEO)
(847) 912-2411
Entity
Organization
Contact information
Practice address
5116 W 95TH ST, OAK LAWN, IL 60453-2458
(708) 581-7070
(630) 701-1007
Mailing address
2625 BUTTERFIELD RD, STE 301N, OAK BROOK, IL 60523-1234
(630) 468-1824
(630) 701-1007
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/23/2014
Last updated
02/05/2014
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