HTP-AMIC PAIN TREATMENT SURGICAL SUITES INC


Address: 11012 S Western Ave, Chicago, IL 60643-3928
Phone: 7733084738

HTP-AMIC PAIN TREATMENT SURGICAL SUITES INC (NPI# 1396976924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396976924
Entity Type Organization
Organization Name HTP-AMIC PAIN TREATMENT SURGICAL SUITES INC
Practice Address 11012 S Western Ave
Chicago
IL 60643-3928
Mailing Address 11600 S Kedzie Ave
Merrionette Park
IL 60803-6307
Practice Telephone 7733084738
Practice Fax Number 7734420970
Mailing Telephone 7732385300
Mailing Fax Number 7734420970
Enumeration Date 2009-07-30
Last Update Date 2009-07-30
Authorized Official Name DR. HAROLD T PYE (PHYSICIAN/CEO)
Authorized Official Telephone 7733084738
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP3300X Clinic/Center
Specialization: Pain
036093488 IL Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IL UNITED STATES DEPARTMENT OF LABOR 614276100 01

Office Location

Street Address 11012 S WESTERN AVE
City CHICAGO
State IL
Zip Code 60643-3928

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1841631694 Nicole White Physical Therapy Assistant 11012 S Western Ave, Chicago, IL 60643-3928 2013-07-09
1639514110 Gail Claudette Pye Speech-Language Pathologist 11012 S Western Ave, Chicago, IL 60643-3928 2013-05-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154941698 Breann Hampton Behavior Technician 1214 W 115th St, Chicago, IL 60643 2020-04-24
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1467082883 Juliana Frances Cunningham Developmental Therapist 10037 S Bell, Chicago, IL 60643 2020-01-24
1013578624 Sct Counseling Counselor 11948 S Western Ave, Chicago, IL 60643 2019-06-25
1073087474 For Eyes Optical Company of Pa Optometrist 9900 S Ridgleland Ave, Chicago Ridge, IL 60643 2019-01-18
1073096426 Derek Peake Physical Therapist 9465 S. Western Road, Chicago, IL 60643 2018-09-12
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1811405699 Kara Eileen Noland Developmental Therapist 9327 S Hamilton Ave, Chicago, IL 60643 2018-01-16
1588173546 Kiah Nicole Bouie Behavioral Analyst 1461 W 113th Pl, Chicago, IL 60643 2017-09-21
1174042766 Travis Wade Robertson Physical Therapist 10909-11 S Western Ave, Beverly, IL 60643 2017-09-14
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Taxonomy Information

Taxonomy Code 261QP3300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Pain

Taxonomy Definition

Definition to come...

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1821544750 Affordable Office Based Surgery Clinic/Center 5600 N Sheridan Rd, Suite 104, Chicago, IL 60660-4877 2016-08-31
1114105301 Mei Chiropractic, P.C. Clinic/Center 467 W 31st St, Chicago, IL 60616-3135 2008-02-10
1861600447 M.a.z. Services, Inc. Clinic/Center 5700 W Fullerton Ave, Chicago, IL 60639-2307 2007-05-18
1306915095 The Rehabilitation Institute of Chicao Clinic/Center 1030 N Clark St, Suite 647, Chicago, IL 60610-5467 2006-11-07

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1134597636 Great River Pain Clinic LLC Clinic/Center 555 N Kellogg St, Galesburg, IL 61401-3726 2015-09-14
1649651951 Wellness Institute of Illinois, Ltd. Clinic/Center 741 S Mchenry Ave Ste G, Crystal Lake, IL 60014-7445 2015-06-11
1558618512 Precision Diagnostics Clinic/Center 18623 81st Ave, Tinley Park, IL 60487-6279 2012-08-09
1962637157 Interventional Pain Medicine of Jacksonville, LLC Clinic/Center 1440 West Walnut Street, Jacksonville, IL 62650-0000 2009-05-18
1952565384 Aaa Headache and Pain Clinic Ltd Clinic/Center 1449 N Milwaukee Ave, Libertyville, IL 60048-1310 2008-07-15
1639332505 Interventional Pain Medicine LLC Clinic/Center 1 Bronze Pointe Blvd, Suite 1-a, Swansea, IL 62226-1045 2008-07-09
1558583732 Piasa Pain Center LLC Clinic/Center #3 Professional Drive, Suite B, Acton, IL 62002 2007-05-03
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Competitor

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City CHICAGO
Zip Code 60643

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Dataset Information

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.

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