MEDICARE: ALTERNATIVE PAIN CARE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172P00000X	Naprapath	181000312	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1114017332	OTHER	IL	PERSONAL NPI NUMBER

General Provider Information

NPI Number	:	1851557631
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTERNATIVE PAIN CARE

Provider Business Mailing Address
First Line	:	1749 S NAPERVILLE RD
Second Line	:	SUITE 207
City	:	WHEATON
State	:	IL
Zip	:	60189-5892
Country	:	US
Telephone Number	:	773-501-5071
Fax Number	:	630-752-1222

Provider Business Practice Location Address
First Line	:	3706 DEMPSTER ST
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60076-2232
Country	:	US
Telephone Number	:	773-501-5071
Fax Number	:	630-752-1222

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DAWN FLORINE OLSON
Credential	:	DN
Telephone Number	:	773-501-5071

Provider Enumeration Date	:	07/31/2008
Last Update Date	:	07/31/2008

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Directions to “ALTERNATIVE PAIN CARE ” Practice Location

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