# REGENERATIVE PAIN & SPINE PLLC

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

## Provider details

- **NPI number:** 1538775770
- **Authorized official:** DR. SHOEB MOHIUDDIN MD (OWNER)
- **Authorized official phone:** (708) 691-8841

## Contact information

- **Practice address:** 11536 S. WESTERN AVE, CHICAGO, IL 60643
- **Practice address phone:** (312) 300-3882
- **Practice address fax:** (708) 452-1444
- **Mailing address:** PO BOX 719062, CHICAGO, IL 60677-9286
- **Mailing address phone:** (312) 300-3882
- **Mailing address fax:** (708) 452-1444

## Taxonomy

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

## Other

- **Enumeration date:** 09/22/2020
- **Last updated:** 01/08/2026