PAIN NET MEDICAL GROUP NPI 1376669721

NPI Information

NPI: 1376669721
Provider Name: PAIN NET MEDICAL GROUP
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
5252 N WESTERN AVE
CHICAGO, IL
ZIP 60625
Phone: (773) 878-7909
Get Directions

PAIN NET MEDICAL GROUP is a multi-specialty clinic center in Chicago, IL. PAIN NET MEDICAL GROUP NPI is 1376669721. The provider is registered as an organization entity type.

The provider's business location address is:

5252 N WESTERN AVE
CHICAGO, IL
ZIP 60625-448
Phone: (773) 878-7909
Fax: (773) 878-2311

The provider's authorized official is Marc Strongin .
The authorized official title is Business Administration and has the following contact phone number (773) 878-7909.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty		ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1633119	OTHER		BLUE CROSS BLUE SHEILD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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