Organization
CHICAGOLAND ADVANCED PAIN CENTER
Active
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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