Organization
ADVANCED PAIN CENTERS, S.C.
Active
Other names
Poplar Creek Center for Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE G LIPOV M.D. (PRESIDENT)
(847) 608-6620
Entity
Organization
Contact information
Practice address
1800 MCDONOUGH RD, SUITE 221, HOFFMAN ESTATES, IL 60192-4566
(847) 608-6620
(847) 742-5135
Mailing address
1800 MCDONOUGH RD, SUITE 221, HOFFMAN ESTATES, IL 60192-4566
(847) 608-6620
(847) 742-5135
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
42617703
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619628
BC/BS OF IL GROUP ID
IL
01
—
353435
ELECTRONIC SUBMITTER ID
IL
01
—
4478999
AETNA GROUP ID
IL
Enumeration date
05/23/2006
Last updated
08/22/2020
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