Healthcare Provider Details

I. General information

NPI: 1497884159
Provider Name (Legal Business Name): ELGIN PAIN & HEADACHE CENTER, S.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1975 LIN LOR LN SUITE 175
ELGIN IL
60123-4902
US

IV. Provider business mailing address

185 PENNY AVE
EAST DUNDEE IL
60118-1454
US

V. Phone/Fax

Practice location:
  • Phone: 847-717-4790
  • Fax:
Mailing address:
  • Phone: 847-836-7015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number StateIL

VIII. Authorized Official

Name: DR. J. NNAEMEKA ONWUTA
Title or Position: PRESIDENT
Credential: M.D.
Phone: 847-717-4790