Comprehensive Pain Care SC
Organization Active NPI Interventional Pain Medicine Physician · Harvey, IL
NPI 1215045877 · NPPES record last updated Oct 1, 2009
Key facts
- NPI
- 1215045877
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Interventional Pain Medicine Physician 208VP0014X
- License
- 036074517 (IL)
- Legal business name
- COMPREHENSIVE PAIN CARE SC
- Practice address
- 71 W 156TH St
Suite 205
Harvey, IL 60426-4260 - Phone
- (708) 596-3344
- Fax
- (708) 596-3432
- NPI assigned
- Aug 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Holly S Carobene, M.D.
- Title
- President
- Phone
- (815) 363-8617
Practitioners 3
-
Robert Tumacder, MD
-
Carol Harris, MD
National Provider Directory
Locations
840 Church St NE
Ste D
Marietta, GA 30060
1551 Huntington Dr
Calumet City, IL 60409
Phone (708) 862-5500
60 E Delaware Pl
#900N
Chicago, IL 60611
Phone (312) 440-5152
Dept 77 52229
Chicago, IL 60678
360 Station Dr
Ste 100
Crystal Lake, IL 60014
Phone (815) 334-5566
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician |
208VP0014X | 036074517 | IL | Yes |
Addresses
Primary practice location
71 W 156TH St
Suite 205
Harvey, IL 60426-4260
Mailing address
PO Box 5986
Carol Stream, IL 60197-5986
Phone (847) 677-6410
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CG7161 | Other | IL | RAILROAD MEDICARE |
| 1619176 | Other | IL | BLUE SHIELD # |
Other providers in Harvey, IL
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- Betty Coleman-Bradley
- Rashonda Collins
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- Comprehensive Health Agency Nurturing Guest Enervation
- Mary G Conway
- Denice D Cook
- Cornerstone Suppport Cila Home
- Joseph B Costa
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All providers in Harvey, IL · Interventional Pain Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.