| Organization Name: | JOLIET PAIN CARE CENTER |
| NPI Number: | 1043322001 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SCOTT RICHARD ANDERSON (PRACTICE ADMINISTRATOR) |
| Mailing Address: | 2121 Oneida St #304 Joliet |
| State: | IL US |
| Postal Code: | 60435 |
| Phone Number: | 8157306800 |
| Fax Number: | 8157306868 |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207LP2900X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Anesthesiology |
| Taxonomy Specialization: | Pain Medicine |
| Taxonomy Definition: | 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. |