Suburban Pain Care Surgical Facility LLC
NPI #1912157108 in Tinley Park, Illinois
Provider Information
- NPI Number
- 1912157108
- Entity Type
- Organization
- Organization Name
- Suburban Pain Care Surgical Facility LLC
- Primary Specialty
- Specialist
- Enumeration Date
- Sep 24, 2008
- Last Updated
- Sep 24, 2008
Practice Location
- Address
- 18425 W CREEK DR
- Address 2
- STE B
- City
- Tinley Park
- State
- Illinois
- ZIP Code
- 60477-6767
- Phone
- (630) 810-0451
Authorized Official
- Name
- DR. ELTON WADE DIXON, M.D.
- Title
- PHYSICIAN/OWNER
- Phone
- (630) 810-0451
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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