ILLINOIS PAIN MANAGEMENT S C (NPI# 1255510269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255510269 |
| Entity Type | Organization |
| Organization Name | ILLINOIS PAIN MANAGEMENT S C |
| Other Organization Name | HOLISTIC PAIN CLINIC |
| Practice Address |
2315 E 93rd St Suite 237 Chicago IL 60617-3936 |
| Mailing Address |
Po Box 3307 Oak Brook IL 60522-3307 |
| Practice Telephone | 7737310500 |
| Practice Fax Number | 3122777333 |
| Mailing Telephone | 6308879233 |
| Mailing Fax Number | 6308879234 |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-10-25 |
| Authorized Official Name | DR. SUNEELA HARSOOR (PRESIDENT) |
| Authorized Official Telephone | 8479121566 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | IL | Allopathic & Osteopathic Physicians | |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
IL | Allopathic & Osteopathic Physicians | |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
IL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| HOLISTIC PAIN CLINIC | Other Name - Individual/Organization |
| Street Address |
2315 E 93RD ST SUITE 237 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60617-3936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326097585 | Vijay Patel | Surgery | 2315 E 93rd St, Suite 340, Chicago, IL 60617-3910 | 2006-05-08 |
| 1760879324 | Hope Hospice & Palliative Care Inc | Hospice Care, Community Based | 2315 E 93rd St, 237, Chicago, IL 60617-3936 | 2015-04-22 |
| 1245631860 | Hope Hospice and Palliative Care, Inc | Hospice Care, Community Based | 2315 E 93rd St, Suite 237b, Chicago, IL 60617-3936 | 2014-09-15 |
| 1962815043 | Aashesh Verma | Internal Medicine | 2315 E 93rd St, Ste 440, Chicago, IL 60617-3951 | 2014-06-06 |
| 1811286552 | Devina Shah Sc | Family Medicine | 2315 E 93rd St, Suite 340, Chicago, IL 60617-3936 | 2011-04-04 |
| 1104115971 | Donald E Hoard Md PC | Urology | 2315 E 93rd St, Suite 239, Chicago, IL 60617-3936 | 2011-04-01 |
| 1174828750 | Nelcar M Gadrinab Md Sc | Urology | 2315 E 93rd St, 416, Chicago, IL 60617-3936 | 2011-01-13 |
| 1164745832 | Chicago Cardiovascular Consultants, Sc | Internal Medicine | 2315 E 93rd St, Suite 237, Chicago, IL 60617-3936 | 2010-03-09 |
| 1962640557 | David A Gerst Dpm Sc | Podiatrist | 2315 E 93rd St, Ste. #419, Chicago, IL 60617-3936 | 2009-02-04 |
| 1447427356 | Akhtar Parvaiz Md | Internal Medicine | 2315 E 93rd St, Ste 237, Chicago, IL 60617-3936 | 2008-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102921 | Manuel Lule | Physical Therapy Assistant | 9535 S Jeffery Boulevard, Chicago, IL 60617 | 2020-07-24 |
| 1083253546 | Vanaja Thotten | Internal Medicine | 8012 S.crandon Ave, Chicago, IL 60617 | 2020-01-02 |
| 1427527365 | Stony Island Dental PC | Dentist | 1600 E 93rd Street, Chicago, IL 60617 | 2018-11-21 |
| 1871060301 | Tamika Nicole Whitehead | Social Worker | 2822 East 83rd Street, Chicago, IL 60617 | 2018-11-02 |
| 1528543774 | Felicia Nwankwo | Nurse Practitioner | 2822 E 83rd Street Bradond Famiy Health Cener, Chicago, IL 60617 | 2018-10-03 |
| 1972099307 | David Phan | Optometrist | 1753 E 95th St Ste B-100, Chicago, IL 60617 | 2018-07-09 |
| 1831607340 | Pamela Evette Ewing | Counselor | 9145 S. Merrill Ave, Chicago, IL 60617 | 2018-01-18 |
| 1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
| 1447784921 | 1915-25 95th St., LLC | Clinic/Center | 1915 E 95th St, Chicago, IL 60617 | 2017-04-12 |
| 1881140408 | Yeferson Laverde | Social Worker | 3062 East 31st, Chicago, IL 60617 | 2016-09-01 |
| Find all providers in zip 60617 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164940813 | Leonard Cerullo, Md, Ltd | Pain Medicine | 680 N Lake Shore Dr Ste 1428, Chicago, IL 60611-3461 | 2017-09-01 |
| 1417472887 | Kimberly Lynch | Pain Medicine | 5801 S Ellis Ave, Chicago, IL 60637-5418 | 2017-08-07 |
| 1538356233 | Lake Shore Therapy Center, Inc. | Pain Medicine | 2338 W Morse Ave, 1 A, Chicago, IL 60645-4767 | 2007-09-27 |
| 1497753214 | James R Diesfeld | Pain Medicine | 1044 N Francisco Ave Ste 404, Chicago, IL 60622-2743 | 2005-07-14 |
| 1043778731 | Kristin R Nelson | Pain Medicine | 1044 N Francisco Ave Ste 404, Chicago, IL 60622-2743 | 2019-03-12 |
| 1154777159 | Stellar Pain and Spine Specialists | Pain Medicine | 5215 N California Ave, Chicago, IL 60625-7014 | 2016-05-09 |
| 1629481940 | United Pain Consultants LLC | Pain Medicine | 6323 N Avondale Ave, Suite B-101, Chicago, IL 60631-1962 | 2014-06-04 |
| 1124327994 | Dearborn Medical Consultants, LLC | Pain Medicine | 712 N Dearborn St, Suite 200, Chicago, IL 60654-3818 | 2011-03-19 |
| 1659683373 | H & M Medical, Sc | Pain Medicine | 3633 W Fullerton Ave, Chicago, IL 60647-2344 | 2010-07-10 |
| 1063632917 | Professional Health Sport, Inc. | Pain Medicine | 6288 N Cicero Ave, Chicago, IL 60646-4918 | 2007-04-25 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on ILLINOIS PAIN MANAGEMENT S C.
| 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.