Provider Demographics
NPI:1851557631
Name:ALTERNATIVE PAIN CARE
Entity Type:Organization
Organization Name:ALTERNATIVE PAIN CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:FLORINE
Authorized Official - Last Name:OLSON
Authorized Official - Suffix:
Authorized Official - Credentials:DN
Authorized Official - Phone:773-501-5071
Mailing Address - Street 1:1749 S NAPERVILLE RD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60189-5892
Mailing Address - Country:US
Mailing Address - Phone:773-501-5071
Mailing Address - Fax:630-752-1222
Practice Address - Street 1:3706 DEMPSTER ST
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-2232
Practice Address - Country:US
Practice Address - Phone:773-501-5071
Practice Address - Fax:630-752-1222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-31
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL181000312172P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172P00000XOther Service ProvidersNaprapathGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1114017332OtherPERSONAL NPI NUMBER