Healthcare Provider Details

I. General information

NPI: 1891638060
Provider Name (Legal Business Name): SUMTER CENTER FOR ACUTE PAIN MANAGEMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8931 LINDEN DR
TINLEY PARK IL
60487-7386
US

IV. Provider business mailing address

8931 LINDEN DR
TINLEY PARK IL
60487-7386
US

V. Phone/Fax

Practice location:
  • Phone: 312-330-8554
  • Fax:
Mailing address:
  • Phone: 312-330-8554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. NAYTHEA JOHNSON SUMTER
Title or Position: PAIN SPECIALIST
Credential: NP
Phone: 312-330-8554