Organization
ILLINOIS PAIN AND NEUROPATHY CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY FORZLEY (OWNER)
(630) 257-0550
Entity
Organization
Contact information
Practice address
1192 WALTER ST STE C, LEMONT, IL 60439-2905
(630) 257-0550
(630) 257-0555
Mailing address
1192 WALTER ST STE C, LEMONT, IL 60439-2905
(630) 257-0550
(630) 257-0555
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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