Active NPI
Chicago Pain and Rehabilitation Clinic P.C.
- Rehabilitation Practitioner
- Lincolnwood, IL
National Provider Identifier
1154560530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Legal business name
- CHICAGO PAIN AND REHABILITATION CLINIC P.C.
- Practice address
- 7300 N Cicero Ave
Lincolnwood, IL 60712-1641 - Phone
- (847) 763-8010
- NPI assigned
- Feb 9, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Young Sik Kim
- Title
- Medical Director
- Phone
- (847) 763-8010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | IL | Primary |
Addresses
Primary practice location
7300 N Cicero Ave
Lincolnwood, IL 60712-1641
Mailing address
7300 N Cicero Ave
Lincolnwood, IL 60712-1641
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 366760 | Other | MEDICARE PTAN |
Other names 1
- Chicago Pain and Rehabilitation Center
National Provider Directory
National Provider DirectoryLocations
7300 N Cicero Ave
Lincolnwood, IL 60712
Phone (847) 763-8010
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internist Chiropractor
- Riverwoods, IL
- NPI 1447496179
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Vadnais Heights, MN
- NPI 1407174790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236124800000",
"number": "1154560530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7300 N CICERO AVE",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607121641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 N CICERO AVE",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607121641",
"telephone_number": "847-763-8010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHICAGO PAIN AND REHABILITATION CLINIC P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-09",
"last_updated": "2009-03-04",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "YOUNG SIK",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "847-763-8010",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Rehabilitation Practitioner",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "366760",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Chicago Pain and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lincolnwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.