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Rush North Shore Pain Center

Anesthesiology, Pain Medicine in Skokie, IL. Organization (NPI-2).

NPI number1992923304
StatusActive
Last updated in NPPESSep 11, 2025

Details

NPI
1992923304
Entity type
Organization (NPI-2)
Legal business name
Rush North Shore Pain Center
Organization subpart
No
Enumeration date
Apr 23, 2007
Last updated
Sep 11, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207LP2900X Anesthesiology, Pain Medicine––Yes
103TP0016X Psychologist, Prescribing (Medical)––
207L00000X Anesthesiology––
207LP3000X Anesthesiology, Pediatric Anesthesiology––
208600000X Surgery––
208VP0000X ––
367500000X Nurse Anesthetist, Certified Registered––

Practice location

9701 Knox Ave
Suite 103
Skokie, IL 60076-1256

Phone 847-933-6974

Mailing address

9701 Knox Ave
Suite 103
Skokie, IL 60076-1256

Phone 847-933-6974

Authorized official

Anthony Ivankovich
Director Of Pain Center
3129423135

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pain Medicine (Anesthesiology) Physician providers in Skokie, IL

All 7 Pain Medicine (Anesthesiology) Physician providers in Skokie · All 3,119 providers in Skokie

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