Organization
PALOS PAIN CENTER
Active
Other names
UNIVERSITY PAIN CENTERS
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY IVANKOVICH (DIRECTOR OF PAIN CENTER)
(312) 942-3135
Entity
Organization
Contact information
Practice address
7600 W COLLEGE DR, PALOS HEIGHTS, IL 60463-1001
(708) 923-9771
Mailing address
7600 W COLLEGE DR, PALOS HEIGHTS, IL 60463-1001
(708) 923-9771
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208600000X
Surgery Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01615142
BCBS GROUP NUMBER
IL
Enumeration date
04/23/2007
Last updated
09/11/2025
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