Provider Demographics
NPI:1770762288
Name:AURORA PAIN CLINIC LTD
Entity type:Organization
Organization Name:AURORA PAIN CLINIC LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMESH
Authorized Official - Middle Name:
Authorized Official - Last Name:BATHINA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-966-9999
Mailing Address - Street 1:1315 N HIGHLAND AVE
Mailing Address - Street 2:SUITE NO105
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60506-1400
Mailing Address - Country:US
Mailing Address - Phone:630-966-9999
Mailing Address - Fax:630-359-2378
Practice Address - Street 1:1315 N HIGHLAND AVE
Practice Address - Street 2:SUITE NO105
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-1400
Practice Address - Country:US
Practice Address - Phone:630-966-9999
Practice Address - Fax:630-359-2378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-31
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL261QP3300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1417060146OtherINDIVIDUAL NPI
IL1417060146OtherINDIVIDUAL NPI