MEDICARE: ELITE HEALTH PROVIDERS, SC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	208VP0000X	Pain Medicine Physician	IL
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	IL
3	208VP0014X	Interventional Pain Medicine Physician	IL

General Provider Information

NPI Number	:	1649476714
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELITE HEALTH PROVIDERS, SC

Provider Business Mailing Address
First Line	:	130 WASHINGTON AVE
Second Line	:
City	:	HIGHWOOD
State	:	IL
Zip	:	60040-1122
Country	:	US
Telephone Number	:	847-374-8400
Fax Number	:	847-374-8404

Provider Business Practice Location Address
First Line	:	130 WASHINGTON AVE
Second Line	:
City	:	HIGHWOOD
State	:	IL
Zip	:	60040-1122
Country	:	US
Telephone Number	:	847-374-8400
Fax Number	:	847-374-8404

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SATVINDER S. DHESI
Credential	:	M.D.
Telephone Number	:	773-454-4556

Provider Enumeration Date	:	06/25/2007
Last Update Date	:	03/07/2023

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Directions to “ELITE HEALTH PROVIDERS, SC ” Practice Location

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