PRAIRIESHORE PAIN CENTER P.C. NPI 1689905416

NPI Details

PRAIRIESHORE PAIN CENTER, P.C. is a pain medicine anesthesiology in Lincolnshire, IL. The provider is 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. PRAIRIESHORE PAIN CENTER, P.C. NPI is 1689905416. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Illinois Pain Center, P.c..

The provider's business location address is:

185 MILWAUKEE AVE
SUITE 230
LINCOLNSHIRE, IL
ZIP 60069-010
Phone: (847) 883-0077
Fax: (847) 883-0078

The provider's authorized official is Richard Ali Caner .
The authorized official title is Owner, Ceo and has the following contact phone number (847) 883-0077.

The CLIA number assigned to this NPI record is 14D2016563 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/18/2010 and was last updated on 12/20/2021.

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: