Organization
LASER SPINE SURGICAL SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARIS ABUSHARIF MD (OWNER-PHYSICIAN)
(708) 460-9000
Entity
Organization
Contact information
Practice address
16604 107TH ST, ORLAND PARK, IL 60467-8898
(708) 966-8000
(708) 460-0094
Mailing address
16604 107TH ST, ORLAND PARK, IL 60467-8898
(708) 966-8000
(708) 460-0094
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
06/12/2019
Last updated
06/13/2019
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