Healthcare Provider Details

I. General information

NPI: 1710818273
Provider Name (Legal Business Name): ABM PAIN CONSULTANTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 W GRAND AVE
CHICAGO IL
60654-4844
US

IV. Provider business mailing address

1735 PEBBLE BEACH WAY
VERNON HILLS IL
60061-4520
US

V. Phone/Fax

Practice location:
  • Phone: 312-222-5610
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: AMIT MEHTA
Title or Position: OWNER
Credential: MD
Phone: 847-942-6354