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ILLINOIS PAIN TREATMENT INSTITUTE LTD NPI 1295811479


NPI Information

NPI: 1295811479
Provider Name: ILLINOIS PAIN TREATMENT INSTITUTE, LTD
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 14D2276518

Address:
431 SUMMIT
ELGIN, IL
ZIP 60120
Phone: (847) 289-8822
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ILLINOIS PAIN TREATMENT INSTITUTE, LTD is an interventional pain medicine pain medicine in Elgin, IL. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. ILLINOIS PAIN TREATMENT INSTITUTE, LTD NPI is 1295811479. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

431 SUMMIT
ELGIN, IL
ZIP 60120
Phone: (847) 289-8822
Fax: (847) 289-0815

The provider's authorized official is John V Prunskis .
The authorized official title is Medical Staff President and has the following contact phone number (847) 289-8822.

The CLIA number assigned to this NPI record is 14D2276518 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/31/2006 and was last updated on 1/22/2008.


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
1208VP0014XPain MedicineInterventional Pain 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
1990852MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
2DA 3105OTHERILLINOISRAILROAD MEDICARE
3990851MEDICARE ID-TYPE UNSPECIFIED
4CM 4844OTHERILLINOISRAILROAD MEDICARE
5990850MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
61619144OTHERBC
7CA 2780OTHERILLINOISRAILROAD MEDICARE

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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