Organization
LASER SPINE CENTER OF CHICAGO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARIS ABUSHARIF MD (OWNER-PHYSICIAN)
(847) 854-5192
Entity
Organization
Contact information
Practice address
16604 107TH ST, ORLAND PARK, IL 60467-8898
(847) 854-5192
Mailing address
16604 107TH ST, ORLAND PARK, IL 60467-8898
(708) 966-8000
(708) 966-2836
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
01/02/2018
Last updated
04/26/2018
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