Organization
ELITE SPINE AND REGENERATIVE PAIN CENTER, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN OGAN MD (OWNER)
(312) 953-9793
Entity
Organization
Contact information
Practice address
1002 INTERSTATE DR, CHAMPAIGN, IL 61822-1465
(217) 974-9366
(800) 801-3765
Mailing address
406 BRIERHILL RD, DEERFIELD, IL 60015-4402
(217) 974-9366
(800) 801-3765
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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