UNITED PAIN CONSULTANTS LLC (NPI# 1629481940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629481940 |
| Entity Type | Organization |
| Organization Name | UNITED PAIN CONSULTANTS LLC |
| Practice Address |
6323 N Avondale Ave Suite B-101 Chicago IL 60631-1962 |
| Mailing Address |
1707 W Surf St Chicago IL 60657-6198 |
| Practice Telephone | 7735123947 |
| Mailing Telephone | 7735123947 |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2014-06-04 |
| Authorized Official Name | NAVEEN TIPIRNENI (MEMBER) |
| Authorized Official Telephone | 7735123947 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
036118887 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
6323 N AVONDALE AVE SUITE B-101 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60631-1962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881607257 | Julie A. Ruzycki | Psychologist | 6323 N Avondale Ave, Suite 104, Chicago, IL 60631-1962 | 2006-08-15 |
| 1063737237 | Steven D Marshall | Dentist | 6323 N Avondale Ave, Suite 224, Chicago, IL 60631-1962 | 2010-03-31 |
| 1316173719 | Robin B Kroll | Preferred Provider Organization | 6323 N Avondale Ave, #111, Chicago, IL 60631 | 2009-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427686609 | Martha Agnes Bissing | Student in an Organized Health Care Education/Training Program | Resurrection Medical Education, Karen Dwulat, 7435 W. Talcott Avenue, Chicago, IL 60631 | 2020-04-01 |
| 1497383434 | Kathryn Lee Hughes | Student in an Organized Health Care Education/Training Program | 7435 W Talcott Avenue, Medical Education, Karen Dwulat, Chicago, IL 60631 | 2020-03-27 |
| 1245723121 | Thomas Walsh | Student in an Organized Health Care Education/Training Program | Resurrection Family Medicine 7447 W Talcott Ave, Ste 182, Chicago, IL 60631 | 2018-06-14 |
| 1912411893 | Briggs Therapy Group, LLC | Social Worker | 6645 N Oliphant Ave Ste F, Chicago, IL 60631 | 2017-11-29 |
| 1013467257 | Elsa Methipara | Nurse Practitioner | 6429 N Ogallah, Chicago, IL 60631 | 2016-10-12 |
| 1477001766 | Djje Holdings LLC | Psychologist | 8609 W Bryn Mawr Ave Ste 204, Chicago, IL 60631 | 2016-09-14 |
| 1538512884 | Sprout Pediatric Dentistry | Dentist | 6036 North Northwest Highway, Chicago, IL 60631 | 2016-07-21 |
| 1417305137 | Christopher Louis Scodeller | Emergency Medicine | 7435 W. Talcott A, Presence Resurrection Medical Center, Chicago, IL 60631 | 2016-06-03 |
| 1518315464 | Corbin Barwegen | Emergency Medicine | 7435 W. Talcott Ave., Chicago, IL 60631 | 2016-06-01 |
| 1013304724 | Elliott T. Deweese | Dentist | 7447 W Talcott Ave., Suite 227, Chicago, IL 60631 | 2015-04-20 |
| Find all providers in zip 60631 | ||||
| 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 |
| 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 |
| 1255380184 | Midwest Anesthesia Partners, LLC | Pain Medicine | 2900 N Lake Shore Dr, Chicago, IL 60657-5640 | 2006-05-08 |
| Find all providers in CHICAGO | ||||
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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.