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

Lakeshore Pain and Spine Center LLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1689256539

Lakeshore Pain and Spine Center LLC is a Pain Medicine (Anesthesiology) Physician in Kenosha, Wisconsin. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7201 Green Bay Rd
Kenosha, WI 53142-3532
Phone: (312) 519-9936
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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 number1689256539
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bradley Silva — Owner/Md · (262) 484-4035
Other names Lakeshore Pain And Spine Center Llc; Lakeshore Pain And Spine Center Llc
NPI enumeratedApril 21, 2021
Last updated in NPPESAugust 2, 2021
Certification dateAugust 2, 2021
Mailing address7201 Green Bay Rd, Kenosha, WI 53142-3532

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