James & Huddleston Center for Pain, S.C.

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

036113839 Issued in IL

Legal business name

JAMES & HUDDLESTON CENTER FOR PAIN, S.C.

Practice address

11600 S Kedzie Ave
Merrionette Park, IL 60803-6307

Phone

(708) 489-6600

Fax

(708) 489-6660

NPI assigned

Sep 18, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Leon Huddleston, M.D.

Title

Medical Director

Phone

(312) 399-2165

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253232000000",
    "number": "1902130263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E 79TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606192302",
            "telephone_number": "773-419-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 S KEDZIE AVE",
            "city": "MERRIONETTE PARK",
            "state": "IL",
            "postal_code": "608036307",
            "telephone_number": "708-489-6600",
            "fax_number": "708-489-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES & HUDDLESTON CENTER FOR PAIN, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-18",
        "last_updated": "2009-09-18",
        "status": "A",
        "authorized_official_last_name": "HUDDLESTON",
        "authorized_official_first_name": "LEON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "312-399-2165",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "IL",
            "license": "036113839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Clinic/Center in Merrionette Park, IL
• Providers in Merrionette Park, IL by specialty
• Pain Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.