Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elite Spine and Regenerative Pain Center, Ltd

Organization Pain Medicine (Anesthesiology) Physician · NPI 1023958295

Elite Spine and Regenerative Pain Center, Ltd is a Pain Medicine (Anesthesiology) Physician in Champaign, Illinois. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1002 Interstate Dr
Champaign, IL 61822-1465
Phone: (217) 974-9366
Fax: (800) 801-3765
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X

Record details

NPI number1023958295
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Ogan — Owner · (312) 953-9793
NPI enumeratedMarch 30, 2026
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026
Mailing address406 Brierhill Rd, Deerfield, IL 60015-4402

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