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CHICAGO PAIN MEDICINE CENTER NPI 1407323843


NPI Information

NPI: 1407323843
Provider Name: CHICAGO PAIN MEDICINE CENTER
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
5215 N CALIFORNIA AVE STE F717
CHICAGO, IL
ZIP 60625
Phone: (773) 868-6824
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CHICAGO PAIN MEDICINE CENTER is an interventional pain medicine pain medicine in Chicago, IL. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. CHICAGO PAIN MEDICINE CENTER NPI is 1407323843. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5215 N CALIFORNIA AVE STE F717
CHICAGO, IL
ZIP 60625-562
Phone: (773) 868-6824

The provider's authorized official is James R Diesfeld .
The authorized official title is President and has the following contact phone number (773) 868-6824.

The enumeration date for this NPI number is 10/24/2018 and was last updated on 7/9/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208VP0014XPain MedicineInterventional Pain MedicineYes
2332B00000XDurable Medical Equipment & Medical SuppliesNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1036086023MEDICAIDILLINOIS

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: 11/14/2023

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