Provider Demographics
NPI:1316619224
Name:PALATINE PAIN SOLUTIONS LLC
Entity type:Organization
Organization Name:PALATINE PAIN SOLUTIONS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:
Authorized Official - Last Name:FISCHER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-776-9700
Mailing Address - Street 1:419 N LAKE SHORE DR
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-2344
Mailing Address - Country:US
Mailing Address - Phone:602-740-3585
Mailing Address - Fax:847-589-5252
Practice Address - Street 1:118 W NORTHWEST HWY
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-3558
Practice Address - Country:US
Practice Address - Phone:847-776-9700
Practice Address - Fax:847-589-5252
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PALATINE PAIN SOLUTIONS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-09-29
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty