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

Great Lake Pain Physicians Ltd

Organization Pain Medicine (Anesthesiology) Physician · NPI 1902016561

Great Lake Pain Physicians Ltd is a Pain Medicine (Anesthesiology) Physician in Gurnee, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
4
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

15 Tower Ct Ste # 190
Gurnee, IL 60031-3336
Phone: (847) 970-0885
Show map & directions

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

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence 036-084312 (IL)
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X · Licence 036-084312 (IL)
General Practice Physician Taxonomy 208D00000X · Licence 036-084312 (IL)
Interventional Pain Medicine Physician Taxonomy 208VP0014X · Licence 036-084312 (IL)

Record details

NPI number1902016561
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eliza Diaconescu — Medical Director · (847) 970-0885
NPI enumeratedMay 23, 2007
Last updated in NPPESNovember 25, 2014
Mailing address15 Tower Ct, Ste # 190, Gurnee, IL 60031-3336

Other providers in Gurnee