Evergreen Anesthesia & Pain Management Services, S.C.
NPI 1730138637ActiveOrganization· Pain Medicine, Interventional Pain Medicine· Evergreen Park, IL
Pain Medicine, Interventional Pain Medicine in Evergreen Park, Illinois, registered in NPPES in May 2006. The authorized official on file is Kendall R. Lutz, Billing Manager.
Overview
| NPI | 1730138637 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 8, 2006 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pain Medicine, Interventional Pain Medicine Primary | 208VP0014X | — | — |
| Anesthesiology | 207L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other interventional pain physicians in Evergreen Park
- 1497869622
- 1699702753
- 1265477327
- 1306951512