GREAT LAKE PAIN PHYSICIANS LTD. – NPI #1902016561
Anesthesiology

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 coordinated with other specialists.

GREAT LAKE PAIN PHYSICIANS LTD. is an anesthesiologist located in GURNEE, IL. NPPES has assigned the NPI number 1902016561 to GREAT LAKE PAIN PHYSICIANS LTD. on May 23, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207LP2900X from the Health Care Provider Taxonomy code set, which is classified as Anesthesiology, specializing in Pain Medicine

The NPI profile was previously updated about 12 years ago on Nov 25, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GREAT LAKE PAIN PHYSICIANS LTD. below.

NPI Profile for
GREAT LAKE PAIN PHYSICIANS LTD.

NPI Number
1902016561
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GREAT LAKE PAIN PHYSICIANS LTD.
Primary location
15 TOWER CT
STE # 190
GURNEE, IL 60031-3336
Phone: (847) 970-0885 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ELIZA DIACONESCU
MEDICAL DIRECTOR
Phone: 1 (847) 970-0885
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207LP2900X
- Anesthesiology / Pain Medicine (Primary)
IL 036-084312
208VP0014X
- Pain Medicine / Interventional Pain Medicine
IL 036-084312
208D00000X
- General Practice
IL 036-084312
2081P2900X
- Physical Medicine & Rehabilitation / Pain Medicine
IL 036-084312

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.