GREAT LAKE PAIN PHYSICIANS LTD. NPI 1902016561

NPI Information

  • NPI: 1902016561
  • Provider Name: GREAT LAKE PAIN PHYSICIANS LTD.
  • Classification: Anesthesiology - 207LP2900X
  • Specialization: Pain Medicine
  • Entity Type: Organization
  • Address: 15 TOWER CT
    STE # 190
    GURNEE, IL
    ZIP 60031
  • Phone: (847) 970-0885

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NPI Details

GREAT LAKE PAIN PHYSICIANS LTD. is a pain medicine anesthesiology in Gurnee, 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. GREAT LAKE PAIN PHYSICIANS LTD. NPI is 1902016561. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

15 TOWER CT
STE # 190
GURNEE, IL
ZIP 60031-336
Phone: (847) 970-0885

The provider's authorized official is Eliza Diaconescu .
The authorized official title is Medical Director and has the following contact phone number 18479700885.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 11/25/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12081P2900XPhysical Medicine & RehabilitationPain Medicine036-084312ILLINOISNo
2208D00000XGeneral Practice036-084312ILLINOISNo
3208VP0014XPain MedicineInterventional Pain Medicine036-084312ILLINOISNo
4207LP2900XAnesthesiologyPain Medicine036-084312ILLINOISYes

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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