Active NPI
Elite Spine and Regenerative Pain Center, LTD
- Pain Medicine (Anesthesiology) Physician
- Champaign, IL
National Provider Identifier
1023958295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- ELITE SPINE AND REGENERATIVE PAIN CENTER, LTD
- Practice address
- 1002 Interstate Dr
Champaign, IL 61822-1465 - Phone
- (217) 974-9366
- Fax
- (800) 801-3765
- NPI assigned
- Mar 30, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brian Ogan, MD
- Title
- Owner
- Phone
- (312) 953-9793
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
1002 Interstate Dr
Champaign, IL 61822-1465
Mailing address
406 Brierhill Rd
Deerfield, IL 60015-4402
Phone (217) 974-9366
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Champaign, IL
- NPI 1528077948
Pain Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774828800000",
"number": "1023958295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 BRIERHILL RD",
"city": "DEERFIELD",
"state": "IL",
"postal_code": "600154402",
"telephone_number": "217-974-9366",
"fax_number": "800-801-3765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 INTERSTATE DR",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618221465",
"telephone_number": "217-974-9366",
"fax_number": "800-801-3765"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE SPINE AND REGENERATIVE PAIN CENTER, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-30",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A",
"authorized_official_last_name": "OGAN",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "312-953-9793",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.