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MODERN PAIN CONSULTANTS NPI 1255956777


NPI Information

NPI: 1255956777
Provider Name: MODERN PAIN CONSULTANTS
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 14D2098221

Address:
1890 SILVER CROSS BLVD STE 315
NEW LENOX, IL
ZIP 60451
Phone: (815) 416-1224
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MODERN PAIN CONSULTANTS is a pain medicine anesthesiology in New Lenox, IL. The provider is 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. MODERN PAIN CONSULTANTS NPI is 1255956777. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1890 SILVER CROSS BLVD STE 315
NEW LENOX, IL
ZIP 60451-605
Phone: (815) 416-1224
Fax: (815) 416-1220

The provider's authorized official is Alexis Munoz .
The authorized official title is Practice Manager and has the following contact phone number (815) 416-1224.

The CLIA number assigned to this NPI record is 14D2098221 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/10/2020 and was last updated on 6/29/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207LP2900XAnesthesiologyPain MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11992758965OTHERILLINOISNPI
21104082320OTHERILLINOISNPI
31477081263OTHERILLINOISNPI
41780214718OTHERILLINOISNPI
51891113247OTHERILLINOISNPI
61538285614OTHERILLINOISNPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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