| Organization Name: | JAMES & HUDDLESTON CENTER FOR PAIN, S.C. |
| NPI Number: | 1902130263 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LEON HUDDLESTON (MEDICAL DIRECTOR) |
| Mailing Address: | 11600 S Kedzie Ave Merrionette Park |
| State: | IL US |
| Postal Code: | 608036307 |
| Phone Number: | 7084896600 |
| Fax Number: | 7084896660 |
| NPI Enumeration Date: | 09/18/2009 |
| NPI Last Update Date: | 09/18/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP3300X |
| License Number: | 036113839 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Pain |
| Taxonomy Definition: | |