Great Lake Pain Physicians Ltd. in Gurnee - Pain Medicine
Great Lake Pain Physicians Ltd. - NPI 1902016561
Great Lake Pain Physicians Ltd. is a Pain Medicine in Gurnee, Illinois. Great Lake Pain Physicians Ltd. practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Great Lake Pain Physicians Ltd. is 1902016561. The last update date is 2014-11-25.
Great Lake Pain Physicians Ltd.'s current location address is 15 Tower Ct, Gurnee, Illinois. You can contact this provider via phone number 8479700885. The mailing address for Great Lake Pain Physicians Ltd. is 15 Tower Ct, Gurnee, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Great Lake Pain Physicians Ltd. |
|---|---|
| Address | 15 Tower Ct, Gurnee, Illinois |
| Phone Number | 8479700885 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Diaconescu Eliza |
| Credentials | M.D. |
| Telephone Number | 1847970088 |
NPI Number Detail
| NPI Number | 1902016561 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2014-11-25 |
Provider Mailing Address Detail
| Address | 15 Tower Ct |
|---|---|
| City | Gurnee |
| State | Illinois (IL) |
| Post Code | 600313336 |
| Phone Number | 8479700885 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pain Medicine |
|---|---|
| Taxonomy | 207Lp2900X |
| Licence No | 036-084312 |
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Definition: 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 coordi |
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What is the unique identifier code issued to Great Lake Pain Physicians Ltd. by the Centers for Medicare & Medicaid Services (CMS)?
The Great Lake Pain Physicians Ltd. has been assigned the NPI (National Provider Identifier) 1902016561. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Great Lake Pain Physicians Ltd.?
The Great Lake Pain Physicians Ltd. is physically situated at 15 Tower Ct, in the city of Gurnee, state of IL, with the postal code 600313336.
What is Great Lake Pain Physicians Ltd.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Great Lake Pain Physicians Ltd. is Pain Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Lp2900X.
On what date did the Great Lake Pain Physicians Ltd. receive the assignment of its 1902016561 from the Centers for Medicare & Medicaid Services?
The Great Lake Pain Physicians Ltd. was issued its 1902016561 by the Centers for Medicare & Medicaid Services on 2007-05-23.
When was the information pertaining to Great Lake Pain Physicians Ltd. most recently updated or revised?
The details related to Great Lake Pain Physicians Ltd., including its address, specialty, and other relevant information, were last updated or revised on 2014-11-25.
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