Interventional Pain Medicine of Chicago SC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

INTERVENTIONAL PAIN MEDICINE OF CHICAGO SC

Practice address

4433 W Touhy Ave Ste 235
Lincolnwood, IL 60712-1830

Phone

(847) 972-2202

Fax

(812) 961-5829

NPI assigned

Jun 5, 2020

Last updated

Jun 8, 2020By 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

Dr. Irina O Dudar, MDNPI 1689600835

Title

Director

Phone

(847) 972-2202

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 7

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.

• Irina O. Dudar, M.D.

  • Anesthesiology Physician
  • Lincolnwood, IL
  • NPI 1689600835

  Pain Medicine

  Medicare reassignment NPD Authorized official
• Aleksandra Besterfeldt, ANP

  • Psychiatric/Mental Health Nurse Practitioner
  • Zion, IL
  • NPI 1770949067
  NPD
• Iryna Lyuta, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • North Riverside, IL
  • NPI 1710503735
  NPD
• Eduard Zinger, MD

  • Internal Medicine Physician
  • Lincolnwood, IL
  • NPI 1346276656
  NPD
• Masha Chizhik

  • Physician Assistant
  • Chicago, IL
  • NPI 1841614666
  NPD (past)
• Thompson Dzidza, PA

  • Physician Assistant
  • Chicago, IL
  • NPI 1174930887
  NPD (past)
• Pamela Ngozi Ihenachor-Lefor, PA-C

  • Physician Assistant
  • Chicago, IL
  • NPI 1376888610
  NPD (past)

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591574400000",
    "number": "1144844036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 N LAKE SHORE DR APT 3609",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576254",
            "telephone_number": "847-972-2202",
            "fax_number": "812-961-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4433 W TOUHY AVE STE 235",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121830",
            "telephone_number": "847-972-2202",
            "fax_number": "812-961-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL PAIN MEDICINE OF CHICAGO SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-05",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A",
        "authorized_official_last_name": "DUDAR",
        "authorized_official_first_name": "IRINA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-972-2202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Integrative Behavior Solutions
• IV Therapy Solutions LLC (DriptIV Therapy)
• Iyfmoa Labs Inc
• Alexa Jaffe, MSW
• Chana Jakofsky
• Mahnoor Jamali

• Pain Medicine (Anesthesiology) Physician in Lincolnwood, IL
• Providers in Lincolnwood, IL by specialty
• Pain Medicine (Anesthesiology) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.