1972883387 NPI number — QUALITY PAIN MANAGEMENT LLC

Table of content: (NPI 1972883387)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972883387 NPI number — QUALITY PAIN MANAGEMENT LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
QUALITY PAIN MANAGEMENT LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1972883387
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/18/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2304 DUNMORE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DARIEN
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60561-8453
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
630-930-2067
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8190 CASS AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DARIEN
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60561-5013
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
630-333-0501
Provider Business Practice Location Address Fax Number:
630-541-6028
Provider Enumeration Date:
08/17/2011

Additional Information

Authorized Official

Authorized Official Last Name:
KHATOON
Authorized Official First Name:
HUMAIRA
Authorized Official Middle Name:
Authorized Official Title or Position:
ANESTHESIOLOGIST & PAIN PHYSICIAN
Authorized Official Telephone Number:
630-930-2067

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X , with the licence number:  036-095004 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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