14D1086684 CLIA NUMBER - NORTHWEST SUBURBAN PAIN ASSOC

Laboratory Demographics

CLIA Number: 14D1086684

Facility Name: NORTHWEST SUBURBAN PAIN ASSOC

Facility Address:
1675 S ARLINGTON HEIGHTS RD
ARLINGTON HEIGHTS, IL
ZIP 60005
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Facility Phone Number: 847 255-0900

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1174648158

Taxonomy: 207LP2900X - Anesthesiology
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

CLIA Record

Field Name	Field Value
CLIA Number	14D1086684
LAB Type	Physician Office
Facility Name	NORTHWEST SUBURBAN PAIN ASSOC
Street	1675 S ARLINGTON HEIGHTS RD
City	ARLINGTON HEIGHTS
State	IL
ZIP	60005
Phone	847 255-0900
CertificateType	4
CertificateEffectiveDate	11/28/2022
CertificateExpirationDate	11/27/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024