Flossmoor Pain Institute and Surgical Care, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FLOSSMOOR PAIN INSTITUTE AND SURGICAL CARE, LLC

Practice address

19550 Governors Hwy
Suite 1400
Flossmoor, IL 60422-2125

Phone

(708) 922-1902

Fax

(708) 922-1825

NPI assigned

Aug 10, 2006

Last updated

Jun 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Zaki Anwar, MDNPI 1346432481

Title

Ceo

Phone

(815) 464-7212

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Zaki Anwar

  • Interventional Pain Medicine Physician
  • Frankfort, IL
  • NPI 1346432481
  Authorized official Same address or phone
• John K Hong, M.D.

  • Interventional Pain Medicine Physician
  • Salt Lake City, UT
  • NPI 1932127008
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1144231929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19550 GOVERNORS HWY",
            "address_2": "SUITE 1400",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222125",
            "telephone_number": "708-922-1902",
            "fax_number": "708-922-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19550 GOVERNORS HWY",
            "address_2": "SUITE 1400",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222125",
            "telephone_number": "708-922-1902",
            "fax_number": "708-922-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOSSMOOR PAIN INSTITUTE AND SURGICAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "ANWAR",
        "authorized_official_first_name": "ZAKI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "815-464-7212",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1636489",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "POO394804",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sean K Fancher, DPT
• Kevin Lloyd Fatland, D.M.D.
• Robert Steven Fichter, ATC, CSCS
• Alesia Fleshman
• Flossmoor Family Care, S.C.
• Christina L Fortunato
• Emma Fowler
• Nancy Frost, C.R.N.A
• Victor P Fuller
• Dynata Charles Funderburg, M.A.

• Clinic/Center in Flossmoor, IL
• Providers in Flossmoor, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.