Comprehensive Pain Care Center Inc

LBN: Comprehensive Pain Care Center Inc
Comprehensive Pain Care Center Inc is an health care organization with primary practice located at 8S180 S Vine St , Burr Ridge IL 60527-5542. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Comprehensive Pain Care Center Inc can be contacted via phone (708) 479-6522, or through Alkudari, Azzam M via phone (708) 351-4686.

Contact Information

Primary practice address
8S180 S Vine St Burr Ridge IL 60527-5542
Phone: (708) 479-6522
Fax: (708) 286-6461
Website:
Map and Directions
Authorized official contact:
Name: Alkudari, Azzam M Doctor of Medicine (MD)
Phone: (708) 351-4686

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 036113149 Illinois

Profile Details

NPI number 1093146862
LBN Legal business name Comprehensive Pain Care Center Inc
DBA Doing business as Comprehensive Pain Care Center Inc
Authorized official Alkudari, Azzam M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2013
Last updated Dec 4th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093146862 NPPES
Illinois MEDICAID 036113149

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