Organization
JAMES & HUDDLESTON CENTER FOR PAIN, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEON HUDDLESTON M.D. (MEDICAL DIRECTOR)
(312) 399-2165
Entity
Organization
Contact information
Practice address
11600 S KEDZIE AVE, MERRIONETTE PARK, IL 60803-6307
(708) 489-6600
(708) 489-6660
Mailing address
110 E 79TH ST, CHICAGO, IL 60619-2302
(773) 419-4214
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
036113839
IL
Other
Enumeration date
09/18/2009
Last updated
09/18/2009
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