PREMIER PAIN SPECIALISTS LLC NPI 1083087696

NPI Information

  • NPI: 1083087696
  • Provider Name: PREMIER PAIN SPECIALISTS LLC
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Organization
  • CLIA Number: 14D2145087
  • Address: 1365 WILEY RD
    SUITE 153
    SCHAUMBURG, IL
    ZIP 60173
  • Phone: (847) 519-4701

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NPI Details

PREMIER PAIN SPECIALISTS LLC is a medical physician assistant in Schaumburg, IL. PREMIER PAIN SPECIALISTS LLC NPI is 1083087696. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1365 WILEY RD
SUITE 153
SCHAUMBURG, IL
ZIP 60173-382
Phone: (847) 519-4701

The provider's authorized official is Amish Patel .
The authorized official title is Owner and has the following contact phone number (847) 519-4701.

The CLIA number assigned to this NPI record is 14D2145087 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/4/2015 and was last updated on 11/4/2015.

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 License Number License State Primary
1363AM0700XPhysician AssistantMedical085005650ILLINOISYes

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: 11/21/2025

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