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General NPI Number Information
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NPI Number | 1740946524
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Entity Type | Organization
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Legal Business Name | PAIN SOLUTIONS, LLC
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Dates
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Enumeration Date | 11/16/2021
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Last Update Date | 11/16/2021
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Provider Practice Location Address
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Address Line | 9669 KENTON AVE STE 510
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City | SKOKIE
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State | IL
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Zip | 60076-1267
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Country | US
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Telephone | 847-675-1064
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Fax | 847-933-0878
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Provider Business Mailing Address
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Address Line | 9226 KEATING AVE
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City | SKOKIE
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State | IL
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Zip | 60076-1525
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Country | US
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Telephone | 847-675-1064
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Fax | 847-933-0878
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Authorized Official
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Title or Position | OWNER
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Name | DR. DINORA INGBERMAN
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Credential | MD
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Telephone | 847-675-1064
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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