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

Rush North Shore Pain Center

Organization Prescribing (Medical) Psychologist · NPI 1992923304

Rush North Shore Pain Center is a Prescribing (Medical) Psychologist in Skokie, Illinois. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
7

Practice location Address checks out

9701 Knox Ave Ste 103
Skokie, IL 60076-1256
Phone: (847) 933-6974
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
Prescribing (Medical) Psychologist Taxonomy 103TP0016X
Anesthesiology Physician Taxonomy 207L00000X
Pediatric Anesthesiology Physician Taxonomy 207LP3000X
Surgery Physician Taxonomy 208600000X
Pain Medicine Physician Taxonomy 208VP0000X
Certified Registered Nurse Anesthetist Taxonomy 367500000X

Record details

NPI number1992923304
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Ivankovich — Director Of Pain Center · (312) 942-3135
NPI enumeratedApril 23, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address9701 Knox Ave, Suite 103, Skokie, IL 60076-1256

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