Specialty Pain Anesthesia Rehabilitation Consultants LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

SPECIALTY PAIN ANESTHESIA REHABILITATION CONSULTANTS LLC

Practice address

256 E Grand Ave
Fox Lake, IL 60020-1684

Phone

(847) 370-6712

NPI assigned

Oct 21, 2019

Last updated

Aug 23, 2024By 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

John LeuthnerNPI 1851737779

Title

Owner

Phone

(847) 363-0863

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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.

• John Leuthner, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Fox Lake, IL
  • NPI 1851737779
  Medicare reassignment NPD Authorized official
• Uzma Rezvi, M. D.

  • Anesthesiology Physician
  • Kenosha, WI
  • NPI 1003256850

  IL

  Medicare reassignment NPD

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1316580541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 GRAND AVE # 1037",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600314591",
            "telephone_number": "847-363-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 E GRAND AVE",
            "city": "FOX LAKE",
            "state": "IL",
            "postal_code": "600201684",
            "telephone_number": "847-370-6712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY PAIN ANESTHESIA REHABILITATION CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-21",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "LEUTHNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-363-0863"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Nicole Shrum, LSW, CADC
• Navneet Singh, PHARM.D
• Kathleen A Skoli, D.N.
• Kellen M Smith
• Meagan Spasari
• Sports Physical Therapists of Fox Lake LLC
• Heather Sroka
• Surgical Assistant Innovations, LLC
• T.Lindahl Therapist PLLC
• Nathaniel J. Tews, D.C.

• Physical Medicine & Rehabilitation Physician in Fox Lake, IL
• Providers in Fox Lake, IL by specialty
• Physical Medicine & Rehabilitation Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.