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Contact Information

REGENERATIVE PAIN & SPINE PLLC
11536 S. WESTERN AVE
CHICAGO, IL60643
 Phone: 312-300-3882
 Fax: 708-452-1444
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for REGENERATIVE PAIN SPINE PLLC · (Female)

NPI Number 1538775770
Status Active
Credentials
Entity Individual
Enumeration date 09/22/2020
Last updated 01/08/2026 - About 5 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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