REGENERATIVE PAIN & SPINE LLC (NPI# 1538775770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538775770 |
| Entity Type | Organization |
| Organization Name | REGENERATIVE PAIN & SPINE LLC |
| Practice Address |
2122 W Devon Ave Chicago IL 60659-3581 |
| Practice Telephone | 7086918841 |
| Practice Fax Number | 7084521444 |
| Mailing Telephone | 7086918841 |
| Mailing Fax Number | 7084521444 |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |
| Authorized Official Name | DR. SHOEB MOHIUDDIN (OWNER) |
| Authorized Official Telephone | 7086918841 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
2122 W DEVON AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60659-3581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811425 | Devon Homecare Physicians Inc. | Family Medicine | 2822 W. Granville Ave. Apt 1, Chicago, IL 60659 | 2020-11-03 |
| 1932724200 | Tatyana Menaker | Nurse Practitioner | 2958 West Devon Ave, Chicago, IL 60659 | 2020-06-12 |
| 1508410069 | Kara Lyn Anderson | Counselor | 2551 W. Peterson Ave, Chicago, IL 60659 | 2019-08-01 |
| 1568980019 | Saba Suleman | Counselor | 5815 N Spaulding Ave Apt 3a, Chicago, IL 60659 | 2017-09-05 |
| 1639695257 | Go Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5862 N Lincoln Ave, Suite 4, Chicago, IL 60659 | 2017-08-15 |
| 1972039568 | Trilogy, Inc. | Community/Behavioral Health | 2551 W Peterson Ave, Chicago, IL 60659 | 2017-05-03 |
| 1689029050 | Soulu | Voluntary or Charitable | 3557 W Peterson Ave #122, Chicago, IL 60659 | 2016-05-04 |
| 1730540550 | Michael Wei-tsi Chien | Dentist | 3425 W Peterson Ave Ste 107, Chicago, IL 60659 | 2016-03-08 |
| 1497129688 | Acquaint Homecare LLC | Home Health | 3525 West Peterson Avenue, Unit 118, Chicago, IL 60659 | 2015-11-25 |
| 1083054621 | Rebecca Schnell | Speech-Language Pathologist | 6124 N Saint Louis Ave, Chicago, IL 60659 | 2013-06-27 |
| Find all providers in zip 60659 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720627862 | Mm Infusions LLC | Anesthesiology | 1605 S Michigan Ave Unit 1, Chicago, IL 60616-1209 | 2020-01-06 |
| 1306386644 | Advanced Pain and Anesthesia Consultants,pc | Anesthesiology | 5215 N California Ave Ste F715, Chicago, IL 60625-7014 | 2017-03-06 |
| 1487035408 | Emilio A. Valdes | Anesthesiology | 1969 W. Ogden Ave., John H. Stroger, Jr. Hospital of Cook County, Chicago, IL 60612 | 2015-06-16 |
| 1144609181 | Ebm Consulting LLC | Anesthesiology | 5600 N Sheridan Road, #115, Chicago, IL 60660 | 2015-05-22 |
| 1407291867 | Andrew Donguk Nam | Anesthesiology | 1969 W Ogden Ave Fl 5, Chicago, IL 60612-3765 | 2013-04-29 |
| 1326380072 | Integrated Pain Management Sc | Anesthesiology | 736 W. 35th St., Chicago, IL 60616-3438 | 2013-03-20 |
| 1467742577 | William Richard Landphair | Anesthesiology | 1725 W Harrison St Ste 550, Chicago, IL 60612-3846 | 2011-04-10 |
| 1851547616 | Dalia H Elmofty | Anesthesiology | 5841 S Maryland Ave Mc 4028, University of Chicago, Department of Anesthesia, Chicago, IL 60637 | 2008-08-13 |
| 1588827646 | Intesar Hussain | Anesthesiology | 830 N. Ashland Avenue, Chicago, IL 60622-5684 | 2008-07-08 |
| 1447419940 | Hong Xuan Vo | Anesthesiology | 5425 W Belmont Ave, Chicago, IL 60641-4127 | 2008-06-09 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.