Organization
ILLINOIS ANESTHESIA AND PAIN ASSOCIATES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YASSER HUSSEIN MD (PRESIDENT)
(815) 726-2368
Entity
Organization
Contact information
Practice address
11634 QUARTZ CT, FRANKFORT, IL 60423-9028
(708) 479-6522
(708) 286-6461
Mailing address
1301 COPPERFIELD AVE STE 206, JOLIET, IL 60432-2056
(708) 479-6522
(708) 286-6461
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
036100713
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036100713
—
IL
Enumeration date
05/19/2011
Last updated
08/09/2011
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