Organization · Type 2 NPI
Illinois Pain Treatment Institute, Ltd
Pain Clinic/Center · Itasca, IL
NPI number
1003594102
Active
Practice location
650 E Devon Ave Ste 152
Itasca, IL 60143-3136
Fax (847) 289-0815
Mailing address
431 Summit St
Elgin, IL 60120-3805
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pain Medicine Physician | 208VP0000X | None listed |
| Interventional Pain Medicine Physician | 208VP0014X | None listed |
| Pain Clinic/Center Primary | 261QP3300X | None listed |
Pain Clinic/Center: Definition to come...
About NPI 1003594102
Illinois Pain Treatment Institute, Ltd's National Provider Identifier is 1003594102, issued on Jul 7, 2023. The primary taxonomy on file is Pain Clinic/Center (261QP3300X), and the practice location is in Itasca, IL. The record was last updated on Apr 21, 2025.