Windy City Pain Relief, S.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WINDY CITY PAIN RELIEF, S.C.

Practice address

5571 W 95TH St
Oak Lawn, IL 60453-2356

Phone

(708) 972-9695

Fax

(708) 401-0194

NPI assigned

Nov 13, 2018

Last updated

Dec 27, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shanele Nichole McGowan, MD

Title

Provider, Shareholder

Phone

(312) 560-8061

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577404800000",
    "number": "1023586617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16008",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606160001",
            "telephone_number": "708-972-9695",
            "fax_number": "708-576-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5571 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532356",
            "telephone_number": "708-972-9695",
            "fax_number": "708-401-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDY CITY PAIN RELIEF, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-13",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A",
        "authorized_official_last_name": "MCGOWAN",
        "authorized_official_first_name": "SHANELE",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "PROVIDER, SHAREHOLDER",
        "authorized_official_telephone_number": "312-560-8061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivian E. Willis, CRNA
• Jada Wilmington
• Terence F Wilson
• Tom Wilson
• Win Myint MD PC
• Elisa Wing, M.D.
• Brittany M Wirkus, APN
• Wise Willow Inc
• Lauren Wislocki, FNP-BC
• Katherine A Wittle, RN

• Clinic/Center in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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.