# ELITE PAIN MANAGEMENT SC

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

## Provider details

- **NPI number:** 1922427632
- **Authorized official:** DR. MAURICIO ORBEGOZO MD (MEDICAL DIRECTOR/OWNER)
- **Authorized official phone:** (708) 704-1065

## Contact information

- **Practice address:** 12337 S ROUTE 59, SUITE 119, PLAINFIELD, IL 60585-4625
- **Practice address phone:** (844) 724-7246
- **Mailing address:** 6894 FIELDSTONE DR, BURR RIDGE, IL 60527-6967
- **Mailing address phone:** (708) 704-1065

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 036097219 | IL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 036097219 | IL | Yes |

## Other

- **Enumeration date:** 04/09/2014
- **Last updated:** 04/09/2014