NPIMap

Organization Active NPI

Geneva Pain Clinic LLC

  • Interventional Pain Medicine Physician
  • Geneva, IL
National Provider Identifier
1093045270
Registry record updated Dec 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
GENEVA PAIN CLINIC LLC
Practice address
1000 Randall Rd
Suite 225
Geneva, IL 60134-2590
Phone
(630) 845-4099
Fax
(630) 845-4098
NPI assigned
Jan 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2010

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

Authorized official

Name
Lois J Kral
Title
Billing Administrator
Phone
(630) 466-7009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

1000 Randall Rd
Suite 225
Geneva, IL 60134-2590

Mailing address

1000 Randall Rd
Suite 225
Geneva, IL 60134-2590
Phone (630) 845-4099

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293667200000",
    "number": "1093045270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 RANDALL RD",
            "address_2": "SUITE 225",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342590",
            "telephone_number": "630-845-4099",
            "fax_number": "630-845-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 RANDALL RD",
            "address_2": "SUITE 225",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342590",
            "telephone_number": "630-845-4099",
            "fax_number": "630-845-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENEVA PAIN CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-12-30",
        "status": "A",
        "authorized_official_last_name": "KRAL",
        "authorized_official_first_name": "LOIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "630-466-7009"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; 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.