Organization
REGENERATIVE PAIN & SPINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHOEB MOHIUDDIN MD (OWNER)
(708) 691-8841
Entity
Organization
Contact information
Practice address
11536 S. WESTERN AVE, CHICAGO, IL 60643
(312) 300-3882
(708) 452-1444
Mailing address
PO BOX 719062, CHICAGO, IL 60677-9286
(312) 300-3882
(708) 452-1444
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
01/08/2026
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