KANKAKEE PAIN SURGICAL SUITE, LLC (NPI# 1982844684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982844684 |
| Entity Type | Organization |
| Organization Name | KANKAKEE PAIN SURGICAL SUITE, LLC |
| 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 | 2009-02-20 |
| Last Update Date | 2009-02-20 |
| Authorized Official Name | DR. DONALD E. ROLAND (PRESIDENT) |
| Authorized Official Telephone | 8159327246 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | METRO AREA PAIN CONSULTANTS, LTD. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| 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 |
| 1053623801 | Community Pain Consultants, Ltd | Specialist | 555 W Court St, Suite 100, Kankakee, IL 60901-3664 | 2010-07-09 |
| 1518296938 | Donald E Krause Dds Ltd | Clinic/Center | 555 W Court St, Suite 102, Kankakee, IL 60901-3664 | 2009-12-14 |
| 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 | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790244150 | Paradise Point Spa | Clinic/Center | 3207 Lake Ave Ste 13, Wilmette, IL 60091-1082 | 2019-03-15 |
| 1932610110 | Julia Rackley Perry Memorial Hospital | Clinic/Center | 530 Park Ave E Fl 3, Princeton, IL 61356-3901 | 2017-10-16 |
| 1538606470 | Naprapathy University | Clinic/Center | 320 E 21st St, Unit 405, Chicago, IL 60616-3190 | 2017-01-30 |
| 1306216403 | Chicago Pain and Wellness Institute S.c. | Clinic/Center | 665 W North Ave, Suite 101, Lombard, IL 60148-1134 | 2015-10-01 |
| 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 |
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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.