Rush North Shore Pain Center

NPI #1992923304 in Skokie, Illinois

Provider Information

NPI Number: 1992923304
Entity Type: Organization
Organization Name: Rush North Shore Pain Center
Primary Specialty: Anesthesiology - Pain Medicine
Enumeration Date: Apr 23, 2007
Last Updated: Sep 11, 2025

Practice Location

Address: 9701 KNOX AVE
Address 2: SUITE 103
City: Skokie
State: Illinois
ZIP Code: 60076-1256
Phone: (847) 933-6974

Authorized Official

Name: ANTHONY IVANKOVICH
Title: DIRECTOR OF PAIN CENTER
Phone: (312) 942-3135

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Prescribing (Medical) — Prescribing (Medical)	103TP0016X
Anesthesiology	207L00000X
Anesthesiology - Pediatric Anesthesiology — Pediatric Anesthesiology	207LP3000X
Surgery	208600000X
Pain Medicine - Pain Medicine — Pain Medicine	208VP0000X
Nurse Anesthetist, Certified Registered	367500000X
Anesthesiology - Pain Medicine — Pain Medicine	207LP2900X	Primary

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