TLC Pain Management & Sleep Restoration SC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

036078457 Issued in IL

Legal business name

TLC PAIN MANAGEMENT & SLEEP RESTORATION SC

Practice address

1883 Hicks Rd
Ste a
Rolling Meadows, IL 60008-1254

Phone

(847) 359-9432

Fax

(888) 687-1245

NPI assigned

Jun 8, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Wayne David Kelly, MDNPI 1164519005

Title

Owner

Phone

(847) 359-9432

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wayne David Kelly, MD

  • Interventional Pain Medicine Physician
  • Rolling Meadows, IL
  • NPI 1164519005
  Medicare reassignment NPD Authorized official
• Terri Lynn Aubin, LICSW

  • Clinical Social Worker
  • Kittery, ME
  • NPI 1699956078
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518220800000",
    "number": "1003019779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1883 HICKS RD",
            "address_2": "STE A",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600081254",
            "telephone_number": "847-359-9432",
            "fax_number": "888-687-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1883 HICKS RD",
            "address_2": "STE A",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600081254",
            "telephone_number": "847-359-9432",
            "fax_number": "888-687-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC PAIN MANAGEMENT & SLEEP RESTORATION SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2018-02-10",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-359-9432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IL",
            "license": "036078457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Therasys Corporation
• Ronald R Tomaszewski, RPH.
• Stanley G Tomczyk, M.D.
• Estelle A. Torok, MS CCC
• Joan Torrato
• Patricia Torres

• Interventional Pain Medicine Physician in Rolling Meadows, IL
• Providers in Rolling Meadows, IL by specialty
• Interventional Pain Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.