ILLINOIS PAIN TREATMENT INSTITUTE LTD NPI 1376221473

NPI Information

NPI: 1376221473
Provider Name: ILLINOIS PAIN TREATMENT INSTITUTE, LTD
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
2455 DEAN ST STE 3G
ST CHARLES, IL
ZIP 60175
Phone: (847) 289-8822
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ILLINOIS PAIN TREATMENT INSTITUTE, LTD is a pain clinic center in St Charles, IL. ILLINOIS PAIN TREATMENT INSTITUTE, LTD NPI is 1376221473. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2455 DEAN ST STE 3G
ST CHARLES, IL
ZIP 60175-830
Phone: (847) 289-8822
Fax: (847) 289-0815

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

The enumeration date for this NPI number is 7/7/2023 and was last updated on 7/7/2023.

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	Primary
1	208VP0000X	Pain Medicine	Pain Medicine	No
2	208VP0014X	Pain Medicine	Interventional Pain Medicine	No
3	261QP3300X	Clinic/Center	Pain	Yes

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

NPI Synchronization or Removal

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