Ira J Goodman (NPI# 1710984794, PAC ID# 4082675780) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1710984794 |
| PAC ID by PECOS | 4082675780 |
| Professional Enrollment ID | I20120228000630 |
| Full Name | Ira J Goodman |
| Organization Legal Name | PAIN SPECIALISTS OF GREATER CHICAGO SC |
| Address |
7055 High Grove Blvd Suite 100 Burr Ridge IL 60527-7593 |
| Phone Number | 6303719980 |
| Gender | M |
| Graduation Year | 1983 |
| Primary Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| Secondary Specialties | PAIN MANAGEMENT |
| Group Practice PAC ID | 1153382858 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140010 | NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 7055 High Grove Blvd, Suite 100, Burr Ridge, IL 60527-7593 | 6303719980 | PAIN SPECIALISTS OF GREATER CHICAGO SC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | PAIN SPECIALISTS OF GREATER CHICAGO SC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theresa K Scheerenberger | Nurse Practitioner | Pain Specialists of Greater Chicago Sc | 7055 High Grove Blvd, Suite 100, Burr Ridge, IL 60527-7593 |
| Maria Anderson | Nurse Practitioner | Pain Specialists of Greater Chicago Sc | 7055 High Grove Blvd, Suite 100, Burr Ridge, IL 60527-7593 |
| Scott E Glaser | Pain Management | Pain Specialists of Greater Chicago Sc | 7055 High Grove Blvd, Suite 100, Burr Ridge, IL 60527-7593 |
| Mancy A Mathew | Nurse Practitioner | Pain Specialists of Greater Chicago Sc | 7055 High Grove Blvd, Suite 100, Burr Ridge, IL 60527-7593 |
| Scott E Mcdaniel | Pain Management | Pain Specialists of Greater Chicago Sc | 7055 High Grove Blvd, Suite 100, Burr Ridge, IL 60527-7593 |
| Street Address |
7055 HIGH GROVE BLVD SUITE 100 |
| City | BURR RIDGE |
| State | IL |
| Zip | 60527-7593 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theresa K Scheerenberger | Nurse Practitioner | Pain Specialists of Greater Chicago Sc | 7055 High Grove Blvd, Suite 100, Burr Ridge, IL 60527-7593 |
| Maria Anderson | Nurse Practitioner | Pain Specialists of Greater Chicago Sc | 7055 High Grove Blvd, Suite 100, Burr Ridge, IL 60527-7593 |
| Scott E Glaser | Pain Management | Pain Specialists of Greater Chicago Sc | 7055 High Grove Blvd, Suite 100, Burr Ridge, IL 60527-7593 |
| Mancy A Mathew | Nurse Practitioner | Pain Specialists of Greater Chicago Sc | 7055 High Grove Blvd, Suite 100, Burr Ridge, IL 60527-7593 |
| Scott E Mcdaniel | Pain Management | Pain Specialists of Greater Chicago Sc | 7055 High Grove Blvd, Suite 100, Burr Ridge, IL 60527-7593 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Michael Smith | Family Medicine | Vpa PC | 1333 Burr Ridge Pkwy, Suite 200, Burr Ridge, IL 60527-0833 |
| Candice S Anderson | Family Medicine | Vpa PC | 1333 Burr Ridge Pkwy, Suite 200, Burr Ridge, IL 60527-0833 |
| Holly Huong Le | Optometry | Direct Healthcare Solutions LLC | 1333 Burr Ridge Pkwy, Suite 200, Burr Ridge, IL 60527-0833 |
| Sarah J Seavers | Qualified Audiologist | Direct Healthcare Solutions LLC | 1333 Burr Ridge Pkwy, Suite 200, Burr Ridge, IL 60527-0833 |
| Diana N Ranjbar | Optometry | Direct Healthcare Solutions LLC | 1333 Burr Ridge Pkwy, Suite 200, Burr Ridge, IL 60527-0833 |
| Cassandra Waramit | Nurse Practitioner | Paragon Clinical LLC | 1333 Burr Ridge Pkwy, Suite 200, Burr Ridge, IL 60527-0833 |
| Angela Peters | Nurse Practitioner | Paragon Clinical LLC | 1333 Burr Ridge Pkwy, Suite 200, Burr Ridge, IL 60527-0833 |
| Jennifer N Heise | Nurse Practitioner | Paragon Clinical LLC | 1333 Burr Ridge Pkwy, Suite 200, Burr Ridge, IL 60527-0833 |
| Sung H Kweon | Nurse Practitioner | Paragon Clinical LLC | 1333 Burr Ridge Pkwy, Suite 200, Burr Ridge, IL 60527-0833 |
| Natasha B Gray | Nurse Practitioner | Paragon Clinical LLC | 1333 Burr Ridge Pkwy, Suite 200, Burr Ridge, IL 60527-0833 |
| Find all physicians in zip 60527 | |||
| City | BURR RIDGE |
| Zip Code | 60527 |
| Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| City + Specialty | BURR RIDGE + INTERVENTIONAL PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Ira J Goodman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.