Active NPI
Greater Elgin Pain Management Consultants SC
- Pain Medicine (Anesthesiology) Physician
- Elgin, IL
National Provider Identifier
1205916707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- GREATER ELGIN PAIN MANAGEMENT CONSULTANTS SC
- Practice address
- 1425 N Randall Rd
Elgin, IL 60123-2300 - Phone
- (847) 220-1418
- Fax
- (224) 783-3088
- NPI assigned
- Oct 17, 2006
- 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
- Joanna Barclay, MD
- Title
- MD
- Phone
- (847) 220-1418
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
1425 N Randall Rd
Elgin, IL 60123-2300
Mailing address
Dept 4423
Carol Stream, IL 60122-0001
Phone (847) 220-1418
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
Dept 4423
Carol Stream, IL 60122
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Elgin, IL
- NPI 1932210978
-
- Pain Medicine (Anesthesiology) Physician
- Elgin, IL
- NPI 1871768077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628812800000",
"number": "1205916707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT 4423",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601220001",
"telephone_number": "847-220-1418",
"fax_number": "224-783-3088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 N RANDALL RD",
"city": "ELGIN",
"state": "IL",
"postal_code": "601232300",
"telephone_number": "847-220-1418",
"fax_number": "224-783-3088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREATER ELGIN PAIN MANAGEMENT CONSULTANTS SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-17",
"last_updated": "2021-08-13",
"certification_date": "2021-08-13",
"status": "A",
"authorized_official_last_name": "BARCLAY",
"authorized_official_first_name": "JOANNA",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "847-220-1418",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.