CHICAGO PAIN MEDICINE CENTER (NPI# 1760089718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760089718 |
| Entity Type | Organization |
| Organization Name | CHICAGO PAIN MEDICINE CENTER |
| Practice Address |
7531 S Stony Island Ave Chicago IL 60649-3954 |
| Mailing Address |
1044 N Francisco Ave Ste 404 Chicago IL 60622-2743 |
| Practice Telephone | 7738686824 |
| Practice Fax Number | 7738686828 |
| Mailing Telephone | 7738686824 |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2020-10-02 |
| Authorized Official Name | JAMES R DIESFELD (PRESIDENT) |
| Authorized Official Telephone | 7738686824 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036086023 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407323843 | Chicago Pain Medicine Center | Durable Medical Equipment & Medical Supplies | 5215 N California Ave Ste F717, Chicago, IL 60625-8562 | 2018-10-24 |
| 1124532593 | Chicago Pain Medicine Center | Durable Medical Equipment & Medical Supplies | 6307 S Stewart Ave Ste 205, Chicago, IL 60621-3116 | 2017-11-21 |
| 1871190827 | Chicago Pain Medicine Center | Durable Medical Equipment & Medical Supplies | 8012 S Crandon Ave, Chicago, IL 60617-1124 | 2020-10-02 |
| 1033148689 | Chicago Pain Medicine Center | Durable Medical Equipment & Medical Supplies | 1044 N Francisco Ave, Chicago, IL 60622 | 2006-07-03 |
| 1669429890 | Chicago Pain Medicine Center | Durable Medical Equipment & Medical Supplies | 1044 N Francisco Ave Ste 404, Chicago, IL 60622-2743 | 2006-05-31 |
| Street Address |
7531 S STONY ISLAND AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60649-3954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497750699 | Jackson Park Hospital Foundation | Psychiatric Unit | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2005-06-15 |
| 1093332561 | Lubna Hashmi | Student in an Organized Health Care Education/Training Program | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2020-07-01 |
| 1144847963 | Anuja Trivedi | Family Medicine | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2020-06-27 |
| 1487279824 | Nsisongikanabasi Mfon Udoh | Student in an Organized Health Care Education/Training Program | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2020-06-11 |
| 1689212581 | Great Lakes Emergency Physicians Medical Group Sc | Emergency Medicine | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2019-12-11 |
| 1205496551 | Mosleh Uddin Ahmed | Family Medicine | 7531 S Stony Island Ave, Chicago, IL 60649-3993 | 2019-06-19 |
| 1982264230 | Alina Haider | Family Medicine | 7531 S Stony Island Ave, Chicago, IL 60649-3993 | 2019-06-18 |
| 1720648074 | Madiha Batool Khan | Family Medicine | 7531 S Stony Island Ave, Chicago, IL 60649-3993 | 2019-06-18 |
| 1548820228 | Aung Naing Min | Family Medicine | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2019-06-16 |
| 1407341118 | Hira Tariq | Family Medicine | 7531 S Stony Island Ave, Chicago, IL 60649-3954 | 2018-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386250199 | A Safe Haven, L.L.C. | Clinic/Center | 7342-46 S Kingston, Chicago, IL 60649 | 2020-09-17 |
| 1477178713 | Angela K Coleman | Counselor | 1955 E 71st Street, Chicago, IL 60649 | 2020-06-12 |
| 1245880715 | Familydoc Urgent Care LLC | Clinic/Center | 7201 S Stony Island Ave, Chicago, IL 60649 | 2019-09-17 |
| 1912498668 | Venessel N/a Woodson I | Radiology | 7674 S. Southshore Dr #1n, Chicago, IL 60649 | 2018-05-29 |
| 1689117764 | Susana Jimenez | Occupational Therapy Assistant | 2649 E. 75th St, Chicago, IL 60649 | 2016-11-22 |
| 1063863579 | Regina Whittmon | Driver | 7808 S Coles Ave Apt 3, Chicago, IL 60649 | 2016-06-27 |
| 1174912356 | Montsho Gallardo | Doula | 7653 S Coles Ave, Chicago, IL 60649 | 2015-01-12 |
| 1780922120 | April Ong | Physical Therapist | 6700 S Oglesby Ave, Apt 1906, Chicago, IL 60649 | 2013-01-18 |
| 1114288594 | Days Adult Day Care and Personal Care Providers Inc | Clinic/Center | 2455 E 75th St, Chicago, IL 60649 | 2012-06-02 |
| 1891064887 | Kevin Forrest | Occupational Therapist | 2425 E. 71st Street, Chicago, IL 60649 | 2011-12-20 |
| Find all providers in zip 60649 | ||||
| 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 | ||||
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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.