Lin Pain Clinic LTD

Primary specialty

SpecialistTaxonomy code 174400000X

License

036-055942 Issued in IL

Legal business name

LIN PAIN CLINIC LTD

Practice address

16B Professional Park Dr
Maryville, IL 62062-5672

Phone

(618) 288-0879

Fax

(618) 288-3351

NPI assigned

Apr 23, 2007

Last updated

Apr 23, 2013By 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

Dr. Ei Shun Lin, M.D.NPI 1568432037

Title

President

Phone

(618) 288-0879

Specialties & licenses 1

Addresses

Other identifiers 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.

• Ei Shun Lin, M.D.

  • Specialist
  • Maryville, IL
  • NPI 1568432037
  NPD (past) Authorized official

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1629296926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MARYVILLE PROFESSIONAL PARK",
            "address_2": "16B PROFESSIONAL PARK DRIVE",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "62062",
            "telephone_number": "618-288-0879",
            "fax_number": "618-288-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16B PROFESSIONAL PARK DR",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620625672",
            "telephone_number": "618-288-0879",
            "fax_number": "618-288-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIN PAIN CLINIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "EI",
        "authorized_official_middle_name": "SHUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-288-0879",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036-055942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036055942",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon L Lavely, PT
• Legatus Emergency Services LLC
• Megan Lesko
• Lauren Lickwar, OT
• Micaela M. Liles, MS,CCC-SLP
• Ei Shun Lin, M.D.
• Renee Lindner, APRN
• Christopher P Lipsmeyer, MD
• Victoria Ann Liston, BSW, CADC
• Little Hills Healthcare LLC (CenterPointe Hospital)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; 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.