OrganizationActive
Elite Spine and Regenerative Pain Center, Ltd
NPI 1023958295 · Pain Medicine (Anesthesiology) Physician · Champaign, IL
Provider details
- NPI number
- 1023958295
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Brian Ogan, Owner
Practice location
1002 Interstate Dr
Champaign, IL 61822-1465
Phone: (217) 974-9366
Fax: (800) 801-3765
Mailing address
406 Brierhill Rd
Deerfield, IL 60015-4402
Registry dates
- Enumerated
- 2026-03-30
- Last updated
- 2026-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.