Active NPI
Midwest Pain Centers, Inc.
- Interventional Pain Medicine Physician
- Elk Grove Village, IL
National Provider Identifier
1033427950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 036115091
- Legal business name
- MIDWEST PAIN CENTERS, INC.
- Practice address
- 800 Biesterfield Rd
Ste. 302
Elk Grove Village, IL 60007-3361 - Phone
- (847) 701-5040
- NPI assigned
- Sep 14, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jay Joshi, M.D.
- Title
- Medical Director
- Phone
- (847) 701-5040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 036115091 | IL | Primary |
Addresses
Primary practice location
800 Biesterfield Rd
Ste. 302
Elk Grove Village, IL 60007-3361
Mailing address
21720 W Long Grove Rd
Ste. C200
Deer Park, IL 60010-3732
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K28134 | Other | IL | MEDICARE ID-LOCALITY 15 PIN |
| 131846500 | Other | IL | DEPARTMENT OF LABOR |
| 1619628 | Other | IL | BCBS PROVIDER |
| K28133 | Other | IL | MEDICARE ID-LOCALITY 16 PIN |
| P00349345 | Other | IL | MEDICARE ID-RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
21720 W Long Grove Rd
Ste C200
Deer Park, IL 60010
Phone (847) 701-3250
800 Biesterfield Rd
Ste 302
Elk Grove Vlg, IL 60007
Phone (847) 472-1992
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HHAEDD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294704000000",
"number": "1033427950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21720 W LONG GROVE RD",
"address_2": "STE. C200",
"city": "DEER PARK",
"state": "IL",
"postal_code": "600103732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 BIESTERFIELD RD",
"address_2": "STE. 302",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "600073361",
"telephone_number": "847-701-5040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST PAIN CENTERS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-14",
"last_updated": "2011-01-11",
"status": "A",
"authorized_official_last_name": "JOSHI",
"authorized_official_first_name": "JAY",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "847-701-5040",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "IL",
"license": "036115091",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID-LOCALITY 15 PIN",
"identifier": "K28134",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF LABOR",
"identifier": "131846500",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER",
"identifier": "1619628",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID-LOCALITY 16 PIN",
"identifier": "K28133",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID-RAILROAD MEDICARE",
"identifier": "P00349345",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elk Grove Village, IL
- Michael a. Greenberg, M.D., LTD.
- Eli Kasimir Michaels, M.D.
- Michal Szczupak M.D.,LLC (Women's and Children's Health Care Associates, LLC)
- Midwest Adult Care LLC
- Midwest OB/GYN & Midwifery
- Midwest Physical Therapy Ctr
- Midwest Physical Therapy Ctr
- Midwest Sports Medicine (The Center for Physical Therapy)
- Midwest Sports Medicine & Orthopaedic Surgical Specialists LTD
- Midwest Sports Medicine & Orthopaedic Surgical Specialists, LTD.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.