Premier Pain Specialists LLC
Physician Assistant, Medical in Schaumburg, IL. Organization (NPI-2).
NPI number1083087696
StatusActive
Last updated in NPPESNov 4, 2015
Details
- NPI
- 1083087696
- Entity type
- Organization (NPI-2)
- Legal business name
- Premier Pain Specialists LLC
- Organization subpart
- No
- Enumeration date
- Nov 4, 2015
- Last updated
- Nov 4, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 085005650 | IL | Yes |
Practice location
1365 Wiley RdSuite 153
Schaumburg, IL 60173-4382
Phone 847-519-4701
Mailing address
1365 Wiley RdSuite 153
Schaumburg, IL 60173-4382
Authorized official
Amish Patel
Owner
8475194701
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