Modern Pain Management SC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

MODERN PAIN MANAGEMENT SC

Practice address

1795 N Butterfield Rd Ste 108
Libertyville, IL 60048-1212

Phone

(847) 886-0550

NPI assigned

Feb 5, 2026

Last updated

Jun 26, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mariam Mahdi El-BaghdadiNPI 1619130598

Title

MD

Phone

(504) 905-9425

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mariam Mahdi El-Baghdadi, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Libertyville, IL
  • NPI 1619130598
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1770249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782432000000",
    "number": "1043161060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 N BUTTERFIELD RD STE 108",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481212",
            "telephone_number": "847-886-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 N BUTTERFIELD RD STE 108",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481212",
            "telephone_number": "847-886-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN PAIN MANAGEMENT SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-05",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A",
        "authorized_official_last_name": "EL-BAGHDADI",
        "authorized_official_first_name": "MARIAM",
        "authorized_official_middle_name": "MAHDI",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "504-905-9425"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Porchia Mitchell
• Donald Mitckess, LCPC
• Drew M Mjoen, M.A., LCPC
• MLM Homecare (Visiting Angels Libertyville)
• Mobile Therapy Center of America, LLC
• Ankit Modi, PTA
• Carrie Modra, M.S., CCC-SLP
• Dylan Moe, PHARM D
• Shahabuddin Mohammad, M.D.
• Shabia Areeb Mohammed

• Pain Medicine (Anesthesiology) Physician in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Pain Medicine (Anesthesiology) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.