STELLAR PAIN AND SPINE SPECIALISTS NPI 1154777159

NPI Information

  • NPI: 1154777159
  • Provider Name: STELLAR PAIN AND SPINE SPECIALISTS
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Organization
  • CLIA Number: 14D2305079
  • Address: 830 N ASHLAND AVE
    1N
    CHICAGO, IL
    ZIP 60622
  • Phone: (773) 280-7001

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NPI Details

STELLAR PAIN AND SPINE SPECIALISTS is an interventional pain medicine pain medicine in Chicago, IL. The provider is 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 pain, independently or in conjunction with other modalities of treatment. STELLAR PAIN AND SPINE SPECIALISTS NPI is 1154777159. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

830 N ASHLAND AVE
1N
CHICAGO, IL
ZIP 60622-684
Phone: (773) 280-7001
Fax: (773) 280-7597

The provider's authorized official is Sameer Shah .
The authorized official title is President and has the following contact phone number (224) 880-6563.

The CLIA number assigned to this NPI record is 14D2305079 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/9/2016 and was last updated on 4/8/2024.

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
1208VP0014XPain MedicineInterventional Pain Medicine036129958ILLINOISYes

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: 3/30/2025

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