COMMUNITY PAIN CONSULTANTS, LTD (NPI# 1053623801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053623801 |
| Entity Type | Organization |
| Organization Name | COMMUNITY PAIN CONSULTANTS, LTD |
| Practice Address |
555 W Court St Suite 100 Kankakee IL 60901-3664 |
| Practice Telephone | 8159327246 |
| Practice Fax Number | 8159327307 |
| Mailing Telephone | 8159327246 |
| Mailing Fax Number | 8159327307 |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2010-07-09 |
| Authorized Official Name | DR. JAMES MICHAEL KELLY (OWNER) |
| Authorized Official Telephone | 8159327146 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 036065101 | IL | Other Service Providers |
| Street Address |
555 W COURT ST SUITE 100 |
| City | KANKAKEE |
| State | IL |
| Zip Code | 60901-3664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003802349 | Martin T Phillips | Internal Medicine | 555 W Court St, Suite 108, Kankakee, IL 60901-3664 | 2005-09-22 |
| 1083972863 | Michel H. Malek, M.d. PC | Non-Pharmacy Dispensing Site | 555 W Court St, Suite 412, Kankakee, IL 60901-3664 | 2012-04-30 |
| 1194035360 | Michel H. Malek, Md Sc | Neurological Surgery | 555 W Court St, Suite 412, Kankakee, IL 60901-3664 | 2010-10-20 |
| 1902112535 | Fabiola Maria Del Carmen Espinoza | Internal Medicine | 555 W Court St, Suite 108, Kankakee, IL 60901-3664 | 2010-08-20 |
| 1518296938 | Donald E Krause Dds Ltd | Clinic/Center | 555 W Court St, Suite 102, Kankakee, IL 60901-3664 | 2009-12-14 |
| 1982844684 | Kankakee Pain Surgical Suite, LLC | Clinic/Center | 555 W Court St, Suite 100, Kankakee, IL 60901-3664 | 2009-02-20 |
| 1255578118 | Kankakee Area Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 555 W Court St, Ste 101, Kankakee, IL 60901-3664 | 2009-01-14 |
| 1457519969 | Consultants In Pathology Sc | Pathology | 555 W Court St, Suite 300, Kankakee, IL 60901-3664 | 2008-05-30 |
| 1114127800 | Misbah Uddin Ahmed Md Sc | Internal Medicine | 555 W Court St, Ste 200, Kankakee, IL 60901-3664 | 2007-07-20 |
| 1275731671 | George B Verghese Md Sc | Orthopaedic Surgery | 555 W Court St, Kankakee, IL 60901-3664 | 2007-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978841 | William Mitsos Dds | Dentist | 1291 S. 7th Ave, Kankakee, IL 60901 | 2020-09-30 |
| 1922653682 | Jody Mcguyer, Lcpc, Cadc Counseling Services, LLC | Counselor | 315 W. Court St., Kankakee, IL 60901 | 2019-08-08 |
| 1700346327 | Sarah Elizabeth Toma | Speech-Language Pathologist | 200 E Court St #708, Kankakee, IL 60901 | 2019-03-20 |
| 1710473160 | Small Talk Speech Services, LLC | Clinic/Center | 1439 W Vanmeter St, Kankakee, IL 60901 | 2018-07-09 |
| 1124538004 | Amy J Green | Physical Therapist | 350 N. Wall Street, Kankakee, IL 60901 | 2017-10-05 |
| 1013457514 | Elizabeth Ann Smith | Registered Nurse | 292 Charlton Lane, Kankakee, IL 60901 | 2017-03-02 |
| 1861931461 | Stacey E. Brown | Nurse Practitioner | 207 N. Schuyler Ave., Kankakee, IL 60901 | 2017-02-15 |
| 1417352105 | Provider Healthcare Services, Inc | Home Health | 555 South Schuyler, Suite 275, Kankakee, IL 60901 | 2014-10-24 |
| 1265850655 | Ronald George Testa | Dentist | 202 N. Schuyler Ave, Kankakee, IL 60901 | 2014-04-02 |
| 1245587898 | Mary Beth Wertz | Registered Nurse | 100 N Jeffery Street, Kankakee, IL 60901 | 2012-08-13 |
| Find all providers in zip 60901 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417320722 | Jennifer Windley | Specialist | 1435 N Terrace Ave, Kankakee, IL 60901-7456 | 2015-11-09 |
| 1396912234 | Martin Briggs Mcnab Jr. | Specialist | 119 E Court St, Kankakee, IL 60901 | 2008-05-09 |
| 1497830830 | Robert Koziol | Specialist | 500 West Court Street, Kankakee, IL 60901 | 2006-10-26 |
| 1235356304 | Lynn Gaye Brown, M.d., S.c. | Specialist | 500 N Wall St, Suite 201, Kankakee, IL 60901-2942 | 2007-04-19 |
| 1538248729 | Ronald Michael | Specialist | 455 W Court St, Suite 404, Kankakee, IL 60901-3679 | 2006-11-06 |
| 1881679553 | James M Kelly | Specialist | 555 W Court St, Suite 100, Kankakee, IL 60901-3664 | 2005-12-14 |
| 1912982125 | Metro Area Pain Consultants, Ltd | Specialist | 555 W Court St, Suite100, Kankakee, IL 60901-3664 | 2005-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850730 | Nirvana Medspa and Laser Center, Ltd | Specialist | 11801 Southwest Hwy Ste 2n, Palos Heights, IL 60463-1069 | 2020-10-27 |
| 1801402938 | Terri Sendelbach | Specialist | 340 W Butterfield Rd Ste 4b-418, Elmhurst, IL 60126-5069 | 2020-09-23 |
| 1346899630 | Jeremy Gantz Morse | Specialist | 815 W Buena Ave, Chicago, IL 60613-1694 | 2019-09-09 |
| 1619539632 | Benjamin Mendoza | Specialist | 6303 W 63rd St Unit 3c, Chicago, IL 60638-7015 | 2019-06-29 |
| 1891356176 | Kristin Michelle Stahlheber | Specialist | 6718 Goshen Rd, Edwardsville, IL 62025-3025 | 2019-06-26 |
| 1689238438 | Sara Sladoje | Specialist | 936 Raleigh Rd, Glenview, IL 60025-4330 | 2019-04-26 |
| 1760940100 | Eqmd, Inc. | Specialist | 1800 Nations Dr Ste 216, Gurnee, IL 60031-9174 | 2019-03-05 |
| 1962979286 | Time 2 Talk, LLC | Specialist | 6791 Wesley Chapel Rd, Chatham, IL 62629-9722 | 2018-10-24 |
| 1871068783 | Kelsey Lynn Mora | Specialist | 5225 Old Orchard Rd Ste 14, Skokie, IL 60077-1027 | 2018-10-06 |
| 1811471808 | Judith M Penn | Specialist | 8312 S Kedzie Ave, Chicago, IL 60652-3309 | 2018-09-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.