CRYSTAL LAKE REGENERATIVE PAIN ASSOCIATES PLLC - NPI 1750021101

Q: What is the provider's specialty?

The provider's specialty is Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.

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About Crystal Lake Regenerative Pain Associates Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL LAKE REGENERATIVE PAIN ASSOCIATES PLLC (NPI 1750021101) is a healthcare organization registered as an interventional pain medicine in Crystal Lake, Illinois and active in the NPI registry since March 2022. The organization lists Chad Lee, Owner, as its authorized official.

NPPES Registry Identity

NPI1750021101

Entity TypeOrganization

Primary Taxonomy208VP0014X

Legal Business NameCRYSTAL LAKE REGENERATIVE PAIN ASSOCIATES PLLC

Location Address750 E TERRA COTTA AVE STE ACrystal Lake, IL 60014-3621

Mailing Address750 E Terra Cotta Ave Ste ACrystal Lake, IL 60014-3621 · (312) 300-3882

Phone(312) 300-3882

Organization SubpartNo

Authorized OfficialChad LeeOwner · (312) 300-3882

Enumeration DateMarch 31, 2022

NPPES CertifiedMarch 31, 2022

✔ NPI 1750021101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

750 E TERRA COTTA AVE STE A, Crystal Lake, IL 60014

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP