Organization
PAIN & SPINE SUGICAL SUITE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY TOBIN (A/R REP)
(815) 834-7200
Entity
Organization
Contact information
Practice address
744 ESSINGTON RD, JOLIET, IL 60435-4912
(815) 834-7200
(815) 834-1307
Mailing address
744 ESSINGTON RD, JOLIET, IL 60435-4912
(815) 834-7200
(815) 834-1307
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
36113508
IL
Other
Enumeration date
08/08/2014
Last updated
08/08/2014
Update your record
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