Provider Demographics
NPI:1417758483
Name:ILLINOIS PAIN TREATMENT INSTITUTE, LTD
Entity type:Organization
Organization Name:ILLINOIS PAIN TREATMENT INSTITUTE, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF OPERATIONS AND COMPLIANCE
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHLEMBACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-980-6500
Mailing Address - Street 1:431 SUMMIT ST STE 101
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60120-3861
Mailing Address - Country:US
Mailing Address - Phone:847-984-2500
Mailing Address - Fax:
Practice Address - Street 1:755 S MILWAUKEE AVE STE 175
Practice Address - Street 2:
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-3281
Practice Address - Country:US
Practice Address - Phone:847-984-2500
Practice Address - Fax:847-381-0882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain