Organization Active NPI

Midwest Academy of Pain and Spine Inc

  • Neurology Physician
  • Lisle, IL
National Provider Identifier
1083669477
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
MIDWEST ACADEMY OF PAIN AND SPINE INC
Practice address
2867 Ogden Ave
Lisle, IL 60532-1634
Phone
(630) 420-8080
Fax
(630) 778-9090
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Authorized official

Name
Dr. Nesreen Suwan, MDNPI 1821095936
Title
Owner
Phone
(630) 670-4111

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
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

2867 Ogden Ave
Lisle, IL 60532-1634

Mailing address

2867 Ogden Ave
Lisle, IL 60532-1634
Phone (630) 420-8080

Other identifiers 2

IdentifierTypeStateIssuer
036095342MedicaidIL
0001635238OtherILBCBS

Other names 1

  • MAPS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050601000425 IL Part B Supplier - Clinic/Group Practice 5395787212 Receives reassigned benefits from 1 practitioner
Practice locations: Lisle, IL

National Provider Directory

National Provider Directory

Locations

1575 N Barrington Rd
Ste 510
Hoffman Estates, IL 60169
Phone (630) 893-1226

2867 Ogden Ave
Lisle, IL 60532
Phone (630) 420-8080

1919 Midwest Rd
Ste 210
Oak Brook, IL 60523
Phone (630) 245-1010

Practitioners & affiliated clinicians

Practitioners 4

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": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1083669477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2867 OGDEN AVE",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321634",
            "telephone_number": "630-420-8080",
            "fax_number": "630-778-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2867 OGDEN AVE",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321634",
            "telephone_number": "630-420-8080",
            "fax_number": "630-778-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST ACADEMY OF PAIN AND SPINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "SUWAN",
        "authorized_official_first_name": "NESREEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-670-4111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036095342",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0001635238",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAPS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lisle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.