Elite Pain Management SC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

036097219 Issued in IL

Legal business name

ELITE PAIN MANAGEMENT SC

Practice address

12337 S Route 59
Suite 119
Plainfield, IL 60585-4625

Phone

(844) 724-7246

NPI assigned

Apr 9, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Mauricio Orbegozo, MD

Title

Medical Director/Owner

Phone

(708) 704-1065

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1922427632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6894 FIELDSTONE DR",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276967",
            "telephone_number": "708-704-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12337 S ROUTE 59",
            "address_2": "SUITE 119",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605854625",
            "telephone_number": "844-724-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PAIN MANAGEMENT SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "ORBEGOZO",
        "authorized_official_first_name": "MAURICIO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "708-704-1065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036097219",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036097219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Thomas Eiselt, DC
• Joseph O Ekowa, PHARM.D
• Elder Care Concepts LLC
• Emad Elhalawany
• Elite Chiropractic and Rehabilitation, LTD.
• Elite Rehab Plainfield LLC
• Elite Rehabilitation Institute, Physical Therapy, LTD
• Denyce Ellis, LCSW
• Kayla Elstien
• Christopher A Emmert, D.C.

• Pain Medicine (Anesthesiology) Physician in Plainfield, IL
• Providers in Plainfield, 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 Apr 9, 2014; 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.