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General NPI Number Information
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NPI Number | 1417758483
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Entity Type | Organization
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Legal Business Name | ILLINOIS PAIN TREATMENT INSTITUTE, LTD
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 755 S MILWAUKEE AVE STE 175
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City | LIBERTYVILLE
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State | IL
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Zip | 60048-3281
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Country | US
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Telephone | 847-984-2500
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Fax | 847-381-0882
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Provider Business Mailing Address
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Address Line | 431 SUMMIT ST STE 101
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City | ELGIN
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State | IL
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Zip | 60120-3861
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Country | US
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Telephone | 847-984-2500
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Fax |
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Authorized Official
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Title or Position | VP OF OPERATIONS AND COMPLIANCE
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Name | JESSICA SCHLEMBACH
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Credential |
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Telephone | 636-980-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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