Organization Active NPI

Pain Management Institute Corp

  • Interventional Pain Medicine Physician
  • Frankfort, IL
National Provider Identifier
1154374767
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
036090578 Issued in IL
Legal business name
PAIN MANAGEMENT INSTITUTE CORP
Practice address
10181 W Lincoln Hwy
Frankfort, IL 60423-1274
Phone
(815) 464-7212
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Authorized official

Name
Dr. Zaki Anwar, MD
Title
Doctor
Phone
(815) 464-7212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X 036090578 IL Primary

Addresses

Primary practice location

10181 W Lincoln Hwy
Frankfort, IL 60423-1274

Mailing address

4985 Department
Carol Stream, IL 60122-5314
Phone (815) 464-7212

Other identifiers 3

IdentifierTypeStateIssuer
0163014OtherILBLUE CROSS
036090578MedicaidIL
P00025045OtherILRR MEDICARE

National Provider Directory

National Provider Directory

Locations

Carol Stream, IL 60122

Department4985
Carol Stream, IL 60122

1476 Momentum Pl
Chicago, IL 60689

10181 W Lincoln Hwy
Frankfort, IL 60423
Phone (630) 444-7003

7340 W College Dr
#3
Palos Heights, IL 60463
Phone (708) 361-3233

7530 W College Dr
#3
Palos Heights, IL 60463
Phone (708) 361-3233

Practitioners & affiliated clinicians

Practitioners 2

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": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1154374767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4985 DEPARTMENT",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601225314",
            "telephone_number": "815-464-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10181 W LINCOLN HWY",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231274",
            "telephone_number": "815-464-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT INSTITUTE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "ANWAR",
        "authorized_official_first_name": "ZAKI",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "815-464-7212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IL",
            "license": "036090578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0163014",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036090578",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00025045",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

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