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

Great Lake Pain Physicians, Ltd

Organization Anesthesiology Physician · NPI 1023066420

Great Lake Pain Physicians, Ltd is an Anesthesiology Physician in Gurnee, Illinois. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
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

200 S Greenleaf St Ste A
Gurnee, IL 60031-3398
Phone: (847) 244-6464
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X
Interventional Pain Medicine Physician Taxonomy 208VP0014X

Record details

NPI number1023066420
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kendall Lutz — Billing Manager · (847) 836-7015
NPI enumeratedMay 5, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address185 Penny Ave, East Dundee, IL 60118-1454