Organization
PRAIRIESHORE PAIN CENTER, P.C.
Active
Other names
Illinois Pain Center, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ALI CANER M.D. (OWNER, CEO)
(847) 883-0077
Entity
Organization
Contact information
Practice address
185 MILWAUKEE AVE, SUITE 230, LINCOLNSHIRE, IL 60069-3010
(847) 883-0077
(847) 883-0078
Mailing address
185 MILWAUKEE AVE, SUITE 230, LINCOLNSHIRE, IL 60069-3010
(847) 883-0077
(847) 883-0078
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
036-097308
IL
Other
Enumeration date
01/18/2010
Last updated
12/20/2021
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