Organization
PAIN CARE CONSULTANTS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENDALL R. LUTZ (BILLING MANAGER)
(847) 836-7015
Entity
Organization
Contact information
Practice address
1875 W DEMPSTER ST, SUITE 405, PARK RIDGE, IL 60068-1186
(847) 723-2294
Mailing address
185 PENNY AVE, EAST DUNDEE, IL 60118-1454
(847) 836-7015
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
05/05/2006
Last updated
08/22/2020
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