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Organization
RUSH NORTH SHORE PAIN CENTER
Active
Organization
RUSH NORTH SHORE PAIN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY IVANKOVICH (DIRECTOR OF PAIN CENTER)
(312) 942-3135
Entity
Organization
Contact information
Practice address
9701 KNOX AVE, SUITE 103, SKOKIE, IL 60076-1256
(847) 933-6974
Mailing address
9701 KNOX AVE, SUITE 103, SKOKIE, IL 60076-1256
(847) 933-6974
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
—
NULL
103TP0016X
Prescribing (Medical) Psychologist
—
—
207L00000X
Anesthesiology Physician
—
NULL
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
207LP3000X
Pediatric Anesthesiology Physician
—
NULL
207LP3000X
Pediatric Anesthesiology Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
208VP0000X
Pain Medicine Physician
—
NULL
208VP0000X
Pain Medicine Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
04/23/2007
Last updated
09/11/2025
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