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ADVANCED PAIN & BACK INSTITUTE INC. NPI 1851765804


NPI Information

NPI: 1851765804
Provider Name: ADVANCED PAIN & BACK INSTITUTE, INC.
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 14D2163246

Address:
5425 W BELMONT AVE
CHICAGO, IL
ZIP 60641
Phone: (312) 702-1313
Get Directions

ADVANCED PAIN & BACK INSTITUTE, INC. 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. ADVANCED PAIN & BACK INSTITUTE, INC. NPI is 1851765804. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5425 W BELMONT AVE
CHICAGO, IL
ZIP 60641-127
Phone: (312) 702-1313
Fax: (844) 269-6602

The provider's authorized official is Hong Xuan Vo .
The authorized official title is President and has the following contact phone number (832) 348-9475.

The CLIA number assigned to this NPI record is 14D2163246 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/13/2015 and was last updated on 3/20/2019.


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 Medicine036130509ILLINOISYes
2283X00000XRehabilitation HospitalNo

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
1036130509MEDICAIDILLINOIS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.