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

Organization Pain Medicine (Anesthesiology) Physician · NPI 1538775770

Regenerative Pain & Spine PLLC is a Pain Medicine (Anesthesiology) Physician in Chicago, Illinois. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11536 S Western Ave
Chicago, IL 60643
Phone: (312) 300-3882
Fax: (708) 452-1444
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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 number1538775770
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shoeb Mohiuddin — Owner · (708) 691-8841
NPI enumeratedSeptember 22, 2020
Last updated in NPPESJanuary 8, 2026
Certification dateJanuary 8, 2026
Mailing addressPo Box 719062, Chicago, IL 60677-9286

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