Organization
IMMEDIATE PAIN CARE OF WOODRIDGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STUART BERNSEN (CEO)
(847) 912-2411
Entity
Organization
Contact information
Practice address
7440 WOODWARD AVE, SUITE K, WOODRIDGE, IL 60517-2657
(630) 324-4960
(630) 701-1007
Mailing address
2625 BUTTERFIELD RD, STE 301N, OAK BROOK, IL 60523-1234
(847) 912-2411
(630) 701-1007
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/26/2013
Last updated
02/05/2014
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