Organization
NATIONAL PAIN CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJ B. UPPAL MD (OWNER)
(630) 737-9885
Entity
Organization
Contact information
Practice address
1401 E 12TH ST, MENDOTA, IL 61342
(815) 539-1422
Mailing address
1309 MACOM DR STE 101, NAPERVILLE, IL 60564-3202
(630) 737-9885
(630) 737-9886
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
02/19/2015
Last updated
07/03/2018
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