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

Illinois Spine and Pain Center SC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1801185616

Illinois Spine and Pain Center SC is a Pain Medicine (Anesthesiology) Physician in Champaign, Illinois. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

1002 Interstate Dr Olympian Surgical Suites
Champaign, IL 61822-1465
Phone: (217) 974-9366
Fax: (800) 801-3765
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

Record details

NPI number1801185616
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Ogan — Physician / Owner · (217) 347-2332
NPI enumeratedApril 1, 2011
Last updated in NPPESMay 23, 2025
Certification dateMay 23, 2025
Mailing addressPo Box 736909, Chicago, IL 60673-1424

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