Organization
CHICAGOLAND ADVANCED PAIN CENTER
Active
Other names
Pain and Spine Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB MATHEW (BUSINESS OFFICE MANAGER)
(708) 632-5600
Entity
Organization
Contact information
Practice address
700 E OGDEN AVE, SUITE 100, WESTMONT, IL 60559-5569
(708) 632-5600
Mailing address
10330 W ROOSEVELT RD, SUITE 200, WESTCHESTER, IL 60154-2571
(708) 632-5600
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2009
Last updated
02/10/2016
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