Suburban Pain Care Surgical Facility Llc

LBN: Suburban Pain Care Surgical Facility Llc
Suburban Pain Care Surgical Facility Llc is an health care organization with primary practice located at 18425 W Creek Dr Ste B, Tinley Park IL 60477-6767. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Suburban Pain Care Surgical Facility Llc can be contacted via phone (630) 810-0451, or through Dixon, Elton Wade via phone (630) 810-0451.

Contact Information

Primary practice address
18425 W Creek Dr Ste B Tinley Park IL 60477-6767
Fax: (877) 446-3870
Website:
Authorized official contact:
Name: Dixon, Elton Wade Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1912157108
LBN Legal business name Suburban Pain Care Surgical Facility Llc
DBA Doing business as
Authorized official Dixon, Elton Wade Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 24th, 2008
Last updated Sep 24th, 2008 - about 16 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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