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

Midwest Spine and Regenerative Pain Center Inc

Organization Pain Medicine (Anesthesiology) Physician · NPI 1316819063

Midwest Spine and Regenerative Pain Center Inc provides Pain Medicine (Anesthesiology) Physician services in Champaign, Illinois. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
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 number1316819063
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Ogan — President · (312) 953-9793
NPI enumeratedSeptember 22, 2025
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025
Mailing address406 Brierhill Rd, Deerfield, IL 60015-4402

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