Dearborn Medical Consultants, LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

336051334 Issued in IL

Legal business name

DEARBORN MEDICAL CONSULTANTS, LLC

Practice address

712 N Dearborn St
Suite 200
Chicago, IL 60654-3818

Phone

(312) 280-4700

NPI assigned

Mar 19, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Paul Krueger

Title

VP Business Development

Phone

(847) 275-2648

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1300492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300492800000",
    "number": "1124327994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 S RIVER RD",
            "address_2": "SUITE 218",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600184106",
            "telephone_number": "312-280-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 N DEARBORN ST",
            "address_2": "SUITE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543818",
            "telephone_number": "312-280-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEARBORN MEDICAL CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-19",
        "last_updated": "2011-03-19",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "VP BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "847-275-2648",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IL",
            "license": "336051334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deano Medical Associates, S.C.
• Danilo Angeles Deano, M.D.
• Leila C Deano, M.D.
• Christine Haag Deans, PT
• Dominique Dear, CNA
• Jessica Lindsey Dearcangelis
• Grace Deardurff, M.S., OTR/L
• Nancy Dianne Dearinger, D.C.
• Danielle Dearmond, DDS
• Tessa Dearth

• Interventional Pain Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Interventional Pain Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.

Verify at the official NPI Registry.