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Contact Information

RUSH NORTH SHORE PAIN CENTER
9701 KNOX AVE
SUITE 103
SKOKIE, IL60076-1256
 Phone: 847-933-6974
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Pediatric Anesthesiology

207LP3000X 05 Physician/Anesthesiology
 

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for RUSH NORTH SHORE PAIN CENTER

NPI # 1992923304
LBN Legal business name RUSH NORTH SHORE PAIN CENTER
Authorized official ANTHONY IVANKOVICH - (DIRECTOR OF PAIN CENTER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/23/2007
Last updated 09/11/2025 - About 9 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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