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SUBURBAN PAINCARE CENTER P.C. NPI 1255443222


NPI Information

NPI: 1255443222
Provider Name: SUBURBAN PAINCARE CENTER P.C.
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
535 S WASHINGTON ST
STE 22
NAPERVILLE, IL
ZIP 60540
Phone: (630) 810-0451
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SUBURBAN PAINCARE CENTER P.C. is a pain medicine physical medicine rehabilitation in Naperville, IL. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. SUBURBAN PAINCARE CENTER P.C. NPI is 1255443222. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

535 S WASHINGTON ST
STE 22
NAPERVILLE, IL
ZIP 60540-795
Phone: (630) 810-0451
Fax: (877) 446-3870

The provider's authorized official is Elton Wade Dixon .
The authorized official title is Owner/physician and has the following contact phone number (630) 810-0451.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 9/5/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208100000XPhysical Medicine & RehabilitationNo
22084P2900XPsychiatry & NeurologyPain MedicineNo
32081P2900XPhysical Medicine & RehabilitationPain MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11633419OTHERILLINOISBCBS PROVIDER NUMBER
2206179MEDICARE ID-TYPE UNSPECIFIEDILLINOIS

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.