Organization
ADVANCED PAIN CENTERS, S.C.
Active
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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