Organization
HTP-AMIC PAIN TREATMENT SURGICAL SUITES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD T PYE MD (PHYSICIAN/CEO)
(773) 308-4738
Entity
Organization
Contact information
Practice address
11012 S WESTERN AVE, CHICAGO, IL 60643-3928
(773) 308-4738
(773) 442-0970
Mailing address
11600 S KEDZIE AVE, MERRIONETTE PARK, IL 60803-6307
(773) 238-5300
(773) 442-0970
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
036093488
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
614276100
UNITED STATES DEPARTMENT OF LABOR
IL
Enumeration date
07/30/2009
Last updated
07/30/2009
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