NPIMap

Organization Active NPI

Chicago Pain Medicine Center

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
National Provider Identifier
1033148689
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CHICAGO PAIN MEDICINE CENTER
Practice address
1044 N Francisco Ave
Chicago, IL 60622
Phone
(773) 868-6824
Fax
(773) 868-6828
NPI assigned
Jul 3, 2006
Organization subpart
Yes
Parent organization
CHICAGO PAIN MEDICINE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Authorized official

Name
James Robert Diesfeld, MDNPI 1497753214
Title
Pain Management Specialist
Phone
(773) 868-6824

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1044 N Francisco Ave
Chicago, IL 60622

Mailing address

1044 N Francisco Ave Ste 203
Chicago, IL 60622-2743
Phone (773) 868-6824

Other practice location 1

7531 S Stony Island Ave
Chicago, IL 60649-3954
Phone (773) 868-6824

Other practice location 2

8012 S Crandon Ave
Chicago, IL 60617-1124
Phone (773) 868-6824

Other practice location 3

2701 W 68th St Fl 5
Chicago, IL 60629-1813
Phone (773) 868-6824

Other practice location 4

6307 S Stewart Ave Ste 205
Chicago, IL 60621-3116
Phone (773) 868-6824

Other practice location 5

5215 N California Ave Ste F715
Chicago, IL 60625-7014
Phone (773) 868-6824

Other names 1

  • Chicago Pain Medicine Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Chicago Pain Medicine Center6 organizations share this tax ID, including this one
Part of
Chicago Pain Medicine Center

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6307 S Stewart Ave
Ste 205
Chicago, IL 60621

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1033148689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 N FRANCISCO AVE STE 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222743",
            "telephone_number": "773-868-6824",
            "fax_number": "773-868-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 N FRANCISCO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60622",
            "telephone_number": "773-868-6824",
            "fax_number": "773-868-6828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7531 S Stony Island Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606493954",
            "country_code": "US",
            "telephone_number": "773-868-6824",
            "fax_number": "773-868-6828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8012 S Crandon Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606171124",
            "country_code": "US",
            "telephone_number": "773-868-6824",
            "fax_number": "773-868-6828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2701 W 68th St Fl 5",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606291813",
            "country_code": "US",
            "telephone_number": "773-868-6824",
            "fax_number": "773-868-6828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6307 S Stewart Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606213116",
            "country_code": "US",
            "telephone_number": "773-868-6824",
            "fax_number": "773-868-6828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5215 N California Ave Ste F715",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606257014",
            "country_code": "US",
            "telephone_number": "773-868-6824",
            "fax_number": "773-868-6828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHICAGO PAIN MEDICINE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHICAGO PAIN MEDICINE CENTER",
        "enumeration_date": "2006-07-03",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "DIESFELD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PAIN MANAGEMENT SPECIALIST",
        "authorized_official_telephone_number": "773-868-6824",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chicago Pain Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.