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PAIN THERAPY ASSOCIATES LTD. NPI 1053425454


NPI Information

NPI: 1053425454
Provider Name: PAIN THERAPY ASSOCIATES LTD.
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 14D2301627

Address:
455 S ROSELLE RD
STE 104
SCHAUMBURG, IL
ZIP 60193
Phone: (847) 352-5511
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PAIN THERAPY ASSOCIATES LTD. is a specialist in Schaumburg, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PAIN THERAPY ASSOCIATES LTD. NPI is 1053425454. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

455 S ROSELLE RD
STE 104
SCHAUMBURG, IL
ZIP 60193-971
Phone: (847) 352-5511
Fax: (847) 352-5585

The provider's authorized official is Wajde Dabah .
The authorized official title is Owner/medical Director and has the following contact phone number (847) 352-5511.

The CLIA number assigned to this NPI record is 14D2301627 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/19/2006 and was last updated on 4/18/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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