Organization Active NPI

Holistic Science Pain Clinic LLC

  • Anesthesiology Physician
  • Joliet, IL
National Provider Identifier
1205090578
Registry record updated Apr 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036107324 Issued in IL
Legal business name
HOLISTIC SCIENCE PAIN CLINIC LLC
Practice address
105 129TH Infantry Drive
Joliet, IL 60435
Phone
(815) 725-7200
NPI assigned
Jul 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2010

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

Authorized official

Name
Dr. Asad Akram Cheema, MDNPI 1124073861
Title
Owner
Phone
(815) 725-7200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X 036107324 IL Primary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207LP2900X 036107324 IL

Addresses

Primary practice location

105 129TH Infantry Drive
Joliet, IL 60435

Mailing address

105 129TH Infantry Drive
Joliet, IL 60435
Phone (815) 725-7200

Other identifiers 1

IdentifierTypeStateIssuer
036107324MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090429000581 IL Part B Supplier - Clinic/Group Practice 0345398467 Receives reassigned benefits from 1 practitioner
Practice locations: Joliet, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1098276Holistic Science Pain Clinic105 129TH Infantry Drive, Joliet, IL 60435Certificate of waiverApr 14, 2027

National Provider Directory

National Provider Directory

Locations

105 N 129th Infantry Dr
Joliet, IL 60435
Phone (312) 415-0344

Practitioners & affiliated clinicians

Practitioners 1

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": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271808000000",
    "number": "1205090578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 129TH INFANTRY DRIVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "60435",
            "telephone_number": "815-725-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 129TH INFANTRY DRIVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "60435",
            "telephone_number": "815-725-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC SCIENCE PAIN CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2010-04-21",
        "status": "A",
        "authorized_official_last_name": "CHEEMA",
        "authorized_official_first_name": "ASAD",
        "authorized_official_middle_name": "AKRAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-725-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036107324",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036107324",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036107324",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.