JAMES & HUDDLESTON CENTER FOR PAIN, S.C. (NPI# 1902130263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902130263 |
| Entity Type | Organization |
| Organization Name | JAMES & HUDDLESTON CENTER FOR PAIN, S.C. |
| Practice Address |
11600 S Kedzie Ave Merrionette Park IL 60803-6307 |
| Mailing Address |
110 E 79th St Chicago IL 60619-2302 |
| Practice Telephone | 7084896600 |
| Practice Fax Number | 7084896660 |
| Mailing Telephone | 7734194214 |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2009-09-18 |
| Authorized Official Name | LEON HUDDLESTON (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3123992165 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
036113839 | IL | Ambulatory Health Care Facilities |
| Street Address |
11600 S KEDZIE AVE |
| City | MERRIONETTE PARK |
| State | IL |
| Zip Code | 60803-6307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003809674 | Mri Associates of Illinois Sc | Radiology | 11600 S Kedzie Ave, Merrionette Park, IL 60803-6302 | 2005-08-29 |
| 1558996090 | Lauren Ellis | Nurse Practitioner | 11600 S Kedzie Ave, Merrionette Park, IL 60803-6307 | 2020-03-05 |
| 1396249520 | Jenny Rosillo Macaso | Pharmacist | 11600 S Kedzie Ave, Merrionette Park, IL 60803-6307 | 2018-03-21 |
| 1598270522 | Garden Family Pharmacy Inc | Pharmacy | 11600 S Kedzie Ave, Suite E, Merrionette Park, IL 60803-6307 | 2017-12-13 |
| 1952849754 | Amy Gill | Nurse Practitioner | 11600 S Kedzie Ave, Merrionette Park, IL 60803-6307 | 2017-02-01 |
| 1750631727 | Erin Dana Drever | Internal Medicine | 11600 S Kedzie Ave, Merrionette Park, IL 60803-6307 | 2012-09-17 |
| 1194086280 | Industrial Physical Therapy, Inc | Clinic/Center | 11600 S Kedzie Ave, Merrionette Park, IL 60803-6307 | 2012-06-05 |
| 1710252465 | Sarwat Shaheen | Family Medicine | 11600 S Kedzie Ave, Merrionette Park, IL 60803-6307 | 2012-03-14 |
| 1447582796 | Neighborhood Pharmacy Inc | Pharmacy | 11600 S Kedzie Ave, Merrionette Park, IL 60803-6307 | 2010-02-10 |
| 1851523534 | Providers Medical Imaging and Management | Clinic/Center | 11600 S Kedzie Ave, Suite H, Merrionette Park, IL 60803-6307 | 2009-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699173013 | American Medical Lab, Ltd | Clinical Medical Laboratory | 5130 W 125th Pl, American Medical Lab, Alsip, IL 60803 | 2014-12-17 |
| 1225387574 | A Touch of Class Dentistry II | Dentist | 12033 S. Pulaski Road, Alsip, IL 60803 | 2012-08-31 |
| 1841431657 | George P. Danos Inc | Dentist | 5101 W 111th St, Alsip, IL 60803 | 2009-03-09 |
| 1194898114 | Vital Rehabilitation & Physical Therapy Inc | Clinic/Center | 11600 S Kedzie, Merrionette Park, IL 60803 | 2006-11-16 |
| 1841203650 | Alsip Dental Arts PC | Dentist | 11107 South Lawler, Alsip, IL 60803 | 2006-08-14 |
| 1477500932 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 12001 S Pulaski Rd, Alsip, IL 60803 | 2006-05-30 |
| 1013961044 | Arbor Centers for Eye Care | Technician/Technologist | 11600 South Kedzie Ave, Merrionette Park, IL 60803 | 2006-05-22 |
| 1467064360 | Yash Desai | Pharmacist | 12290 S Pulaski Rd, Alsip, IL 60803 | 2020-08-20 |
| 1609293539 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 3243 W 115th St, Merrionette Park, IL 60803 | 2014-03-28 |
| 1114357092 | Abdul Hussein Darki | Pediatrics | 11808 S Pulaski Rd, Alsip, IL 60803 | 2013-11-14 |
| Find all providers in zip 60803 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1790244150 | Paradise Point Spa | Clinic/Center | 3207 Lake Ave Ste 13, Wilmette, IL 60091-1082 | 2019-03-15 |
| 1932610110 | Julia Rackley Perry Memorial Hospital | Clinic/Center | 530 Park Ave E Fl 3, Princeton, IL 61356-3901 | 2017-10-16 |
| 1538606470 | Naprapathy University | Clinic/Center | 320 E 21st St, Unit 405, Chicago, IL 60616-3190 | 2017-01-30 |
| 1306216403 | Chicago Pain and Wellness Institute S.c. | Clinic/Center | 665 W North Ave, Suite 101, Lombard, IL 60148-1134 | 2015-10-01 |
| 1134597636 | Great River Pain Clinic LLC | Clinic/Center | 555 N Kellogg St, Galesburg, IL 61401-3726 | 2015-09-14 |
| 1649651951 | Wellness Institute of Illinois, Ltd. | Clinic/Center | 741 S Mchenry Ave Ste G, Crystal Lake, IL 60014-7445 | 2015-06-11 |
| 1558618512 | Precision Diagnostics | Clinic/Center | 18623 81st Ave, Tinley Park, IL 60487-6279 | 2012-08-09 |
| 1962637157 | Interventional Pain Medicine of Jacksonville, LLC | Clinic/Center | 1440 West Walnut Street, Jacksonville, IL 62650-0000 | 2009-05-18 |
| 1952565384 | Aaa Headache and Pain Clinic Ltd | Clinic/Center | 1449 N Milwaukee Ave, Libertyville, IL 60048-1310 | 2008-07-15 |
| 1639332505 | Interventional Pain Medicine LLC | Clinic/Center | 1 Bronze Pointe Blvd, Suite 1-a, Swansea, IL 62226-1045 | 2008-07-09 |
| Find all providers with the same taxonomy | ||||
| City | MERRIONETTE PARK |
| Zip Code | 60803 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.