Suburban Paincare Center P.C.
LBN: Suburban Paincare Center P.C.
Suburban Paincare Center P.C. is an health care organization with primary practice located at 535 S Washington St Ste 22, Naperville IL 60540-6795. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty.
Suburban Paincare Center P.C. can be contacted via phone (630) 810-0451, or through Dixon, Elton Wade via phone (630) 810-0451.
Contact Information
Primary practice address
535 S Washington St Ste 22
Naperville IL 60540-6795
Phone: (630) 810-0451
Fax: (877) 446-3870
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | ||
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | ||
| Allopathic & Osteopathic Physicians / Pain Medicine | 2084P2900X |
Profile Details
| NPI number | 1255443222 |
|---|---|
| LBN Legal business name | Suburban Paincare Center P.C. |
| DBA Doing business as | |
| Authorized official | Dixon, Elton Wade Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Sep 5th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255443222 | NPPES |
| Illinois | Other | 1633419 | BCBS PROVIDER NUMBER |
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