Organization
RUSH NORTH SHORE PAIN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY IVANKOVICH (DIRECTOR OF PAIN CENTER)
(312) 942-3135
Entity
Organization
Contact information
Practice address
9701 KNOX AVE, SUITE 103, SKOKIE, IL 60076-1256
(847) 933-6974
Mailing address
9701 KNOX AVE, SUITE 103, SKOKIE, IL 60076-1256
(847) 933-6974
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
—
—
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
207LP3000X
Pediatric Anesthesiology Physician
—
—
208600000X
Surgery Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
04/23/2007
Last updated
09/11/2025
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