Organization
ILLINOIS SPINE AND PAIN CENTER SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN OGAN M.D. (PHYSICIAN / OWNER)
(217) 347-2332
Entity
Organization
Contact information
Practice address
1002 INTERSTATE DR, OLYMPIAN SURGICAL SUITES, CHAMPAIGN, IL 61822-1465
(217) 974-9366
(800) 801-3765
Mailing address
PO BOX 736909, CHICAGO, IL 60673-1424
(217) 974-9366
(800) 801-3765
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
04/01/2011
Last updated
05/23/2025
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