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General NPI Number Information
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NPI Number | 1497884159
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Entity Type | Organization
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Legal Business Name | ELGIN PAIN & HEADACHE CENTER, S.C.
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1975 LIN LOR LN SUITE 175
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City | ELGIN
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State | IL
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Zip | 60123-4902
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Country | US
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Telephone | 847-717-4790
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Fax |
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Provider Business Mailing Address
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Address Line | 185 PENNY AVE
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City | EAST DUNDEE
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State | IL
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Zip | 60118-1454
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Country | US
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Telephone | 847-836-7015
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. J. NNAEMEKA ONWUTA
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Credential | M.D.
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Telephone | 847-717-4790
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State | IL
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