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

Northlake Medical Center LLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1225393234

Northlake Medical Center LLC provides Pain Medicine (Anesthesiology) Physician services in Northlake, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

161 E North Ave
Northlake, IL 60164-2523 Not confirmed with CMS for 14 years — call before visiting
Phone: (708) 450-5000
Fax: (708) 450-5055
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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 · Licence 036070313 (IL)

Record details

NPI number1225393234
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Giri Rao — Owner · (989) 225-6493
NPI enumeratedJuly 6, 2012
Last updated in NPPESJuly 17, 2012
Mailing address161 E North Ave, Northlake, IL 60164-2523

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