Center for Pain Control, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

60008451 Issued in IL

Legal business name

CENTER FOR PAIN CONTROL, P.C.

Practice address

1800 Hollister Dr
Suite 206
Libertyville, IL 60048-5263

Phone

(847) 549-1609

Fax

(847) 549-1646

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bruce W. Irwin, M.D.NPI 1891757720

Title

Medical Director

Phone

(847) 549-1609

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce William Irwin, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Libertyville, IL
  • NPI 1891757720
  NPD (past) Authorized official

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1346399268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 HOLLISTER DR",
            "address_2": "SUITE 206",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485263",
            "telephone_number": "847-549-1609",
            "fax_number": "847-549-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HOLLISTER DR",
            "address_2": "SUITE 206",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485263",
            "telephone_number": "847-549-1609",
            "fax_number": "847-549-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PAIN CONTROL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "IRWIN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "847-549-1609",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "60008451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caryn Kedzierski (Best Hearing of LIbertyville)
• J Eric D Castro, MD
• Lauren Cavelli, MA, LCPC, NCC
• John Lee Cecilia, LCSW
• Center for Grief and Traumatic Loss, LLC
• Centerpointe Cpe, Inc.
• Cepamerica Illinois LLP
• Robyn Cepek, L.AC.
• Christina R Cerk, M.A, LCPC
• Brian M Cerny, PHD

• Specialist in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.