Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Elite Spine and Regenerative Pain Center, Ltd

Organization Pain Medicine (Anesthesiology) Physician · NPI 1023958295

Elite Spine and Regenerative Pain Center, Ltd provides Pain Medicine (Anesthesiology) Physician services in Champaign, Illinois. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1002 Interstate Dr
Champaign, IL 61822-1465
Phone: (217) 974-9366
Fax: (800) 801-3765
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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 number1023958295
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Ogan — Owner · (312) 953-9793
NPI enumeratedMarch 30, 2026
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026
Mailing address406 Brierhill Rd, Deerfield, IL 60015-4402

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