Provider Demographics
NPI:1881222735
Name:POWERS, SEAN W (DO)
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:W
Last Name:POWERS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7055 HIGH GROVE BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:BURR RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60527-7625
Mailing Address - Country:US
Mailing Address - Phone:630-371-9980
Mailing Address - Fax:630-371-1555
Practice Address - Street 1:7055 HIGH GROVE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:BURR RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60527-7625
Practice Address - Country:US
Practice Address - Phone:630-371-9980
Practice Address - Fax:630-371-1555
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-27
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.162318207LP2900X
UT13882325-1204207LP2900X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty