Organization
PAIN SPECIALISTS OF ILLINOIS, S.C
Active
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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