NPIMap

Organization Active NPI

Chicago Pain & Headache Clinic

  • Clinic/Center
  • Chicago, IL
National Provider Identifier
1043485022
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1903784 Issued in IL
Legal business name
CHICAGO PAIN & HEADACHE CLINIC
Practice address
3314 W 26TH St
Chicago, IL 60623-4035
Phone
(773) 521-8160
Fax
(773) 521-8252
NPI assigned
Apr 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Dr. Bernardo Saavedra, M.D.
Title
Medical Director
Phone
(773) 521-8160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1903784 IL Primary

Addresses

Primary practice location

3314 W 26TH St
Chicago, IL 60623-4035

Mailing address

3314 W 26TH St
Chicago, IL 60623-4035
Phone (773) 521-8160

National Provider Directory

National Provider Directory
Tax ID family
Chicago Pain Headache Clinic LTD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1043485022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3314 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234035",
            "telephone_number": "773-521-8160",
            "fax_number": "773-521-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3314 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234035",
            "telephone_number": "773-521-8160",
            "fax_number": "773-521-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO PAIN & HEADACHE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "SAAVEDRA",
        "authorized_official_first_name": "BERNARDO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "773-521-8160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "1903784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 29, 2008; 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.