Great Lake Pain Physicians Ltd.

LBN: Great Lake Pain Physicians Ltd.
Great Lake Pain Physicians Ltd. is an health care organization with primary practice located at 15 Tower Ct Ste # 190, Gurnee IL 60031-3336. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Great Lake Pain Physicians Ltd. can be contacted via phone (847) 970-0885, or through Diaconescu, Eliza via phone 18479700885.

Contact Information

Primary practice address
15 Tower Ct Ste # 190 Gurnee IL 60031-3336
Phone: (847) 970-0885
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Diaconescu, Eliza Doctor of Medicine (MD)
Phone: 18479700885

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 036-084312 Illinois
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 036-084312 Illinois
Allopathic & Osteopathic Physicians / General Practice 208D00000X 036-084312 Illinois
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 036-084312 Illinois

Profile Details

NPI number 1902016561
LBN Legal business name Great Lake Pain Physicians Ltd.
DBA Doing business as
Authorized official Diaconescu, Eliza Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2007
Last updated Nov 25th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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