Illinois Pain Treatment Institute, LTD

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

ILLINOIS PAIN TREATMENT INSTITUTE, LTD

Practice address

650 E Devon Ave Ste 152
Itasca, IL 60143-3136

Phone

(847) 289-8822

Fax

(847) 289-0815

NPI assigned

Jul 7, 2023

Organization subpart

No

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

Authorized official

Name

Chadi Iskandar Yaacoub, MD

Title

Medical Director

Phone

(847) 289-8822

Specialties & licenses 3

Addresses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IFJFCD

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1003594102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 SUMMIT ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601203805",
            "telephone_number": "847-289-8822",
            "fax_number": "847-289-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 E DEVON AVE STE 152",
            "city": "ITASCA",
            "state": "IL",
            "postal_code": "601433136",
            "telephone_number": "847-289-8822",
            "fax_number": "847-289-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS PAIN TREATMENT INSTITUTE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "YAACOUB",
        "authorized_official_first_name": "CHADI",
        "authorized_official_middle_name": "ISKANDAR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "847-289-8822",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Itasca Fire Protection District No 1
• Itasca Foot and Ankle LTD

• Pain Clinic/Center in Itasca, IL
• Providers in Itasca, IL by specialty
• Pain Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.