# NORTHWEST SUBURBAN PAIN CENTER SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174648158
- **Authorized official:** PAUL LUGTHART MD (PRESIDENT)
- **Authorized official phone:** (847) 618-1000

## Contact information

- **Practice address:** 800 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005-2349
- **Practice address phone:** (847) 255-0900
- **Mailing address:** PO BOX 88266, CHICAGO, IL 60680-1266

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/20/2007
- **Last updated:** 10/29/2007