Organization
PAIN SPECIALISTS OF ILLINOIS, S.C
Active
Other names
Ortho Spine and Pain Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNEELA HARSOOR M.D. (PRESIDENT)
(630) 571-1100
Entity
Organization
Contact information
Practice address
1925 E 95TH ST, CHICAGO, IL 60617
(630) 571-1100
(630) 504-6265
Mailing address
PO BOX 3307, OAK BROOK, IL 60522-3307
(630) 571-1100
(630) 504-6265
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
09/06/2013
Last updated
07/12/2018
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