MEDICARE: BARRINGTON PAIN AND SPINE INSTITUTE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1619244175
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARRINGTON PAIN AND SPINE INSTITUTE, LLC

Provider Business Mailing Address
First Line	:	431 SUMMIT ST
Second Line	:
City	:	ELGIN
State	:	IL
Zip	:	60120-3861
Country	:	US
Telephone Number	:	847-289-8822
Fax Number	:	847-289-0815

Provider Business Practice Location Address
First Line	:	600 HART RD
Second Line	:
City	:	BARRINGTON
State	:	IL
Zip	:	60010-2623
Country	:	US
Telephone Number	:	847-289-8822
Fax Number	:	847-289-0815

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. JOHN V PRUNSKIS
Credential	:	MD
Telephone Number	:	847-289-8822

Provider Enumeration Date	:	11/28/2011
Last Update Date	:	05/10/2024

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