Great Lake Pain Physicians, Ltd. in East Dundee - Interventional Pain Medicine

Great Lake Pain Physicians, Ltd. - NPI 1023066420

Great Lake Pain Physicians, Ltd. is a Interventional Pain Medicine in East Dundee, Illinois. Great Lake Pain Physicians, Ltd. practices all healthcare services and medical treatments related to Interventional Pain Medicine. The NPI Number for Great Lake Pain Physicians, Ltd. is 1023066420. The last update date is 2020-08-22.

Great Lake Pain Physicians, Ltd.'s current location address is 185 Penny Ave, East Dundee, Illinois. You can contact this provider via phone number 8478367015. The mailing address for Great Lake Pain Physicians, Ltd. is 185 Penny Ave, East Dundee, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Great Lake Pain Physicians, Ltd.
Address 185 Penny Ave, East Dundee, Illinois
Phone Number 8478367015
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position BILLING MA
Authorized Official Name Lutz R. Kendall
Telephone Number 8478367015

NPI Number Detail

NPI Number 1023066420
Provider Enumeration Date 2006-05-05
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 185 Penny Ave
City East Dundee
State Illinois (IL)
Post Code 601181454
Phone Number 8478367015
Fax Number

Provider's Primary Taxonomy Detail

Speciality Interventional Pain Medicine
Taxonomy 208Vp0014X
Definition:
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 p

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FAQs about Great Lake Pain Physicians, Ltd.

What is the unique identification code assigned to Great Lake Pain Physicians, Ltd. by the Centers for Medicare & Medicaid Services?

The Great Lake Pain Physicians, Ltd. has been issued the NPI (National Provider Identifier) 1023066420. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Great Lake Pain Physicians, Ltd.'s facilities are geographically located?

The facilities of Great Lake Pain Physicians, Ltd. are physically situated at the following location: 185 Penny Ave, East Dundee, IL, 601181454.

What is the Great Lake Pain Physicians, Ltd.'s specialty and taxonomy code?

The Great Lake Pain Physicians, Ltd.'s specialty is Interventional Pain Medicine, and the corresponding taxonomy code is 208Vp0014X.

On what date did the Centers for Medicare & Medicaid Services issue the 1023066420 to Great Lake Pain Physicians, Ltd.?

The Great Lake Pain Physicians, Ltd. received its 1023066420 assignment from the Centers for Medicare & Medicaid Services on 2006-05-05.

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 2020-08-22.

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