Organization Active NPI

Comprehensive Pain Solutions

  • Pain Clinic/Center
  • Berwyn, IL
National Provider Identifier
1215251269
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
036118384 Issued in IL
Legal business name
COMPREHENSIVE PAIN SOLUTIONS
Practice address
3340 Oak Park Ave
314
Berwyn, IL 60402-3420
Phone
(309) 973-4137
NPI assigned
Mar 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Authorized official

Name
Rachel Sundar
Title
Practice Manager
Phone
(520) 609-9836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X 036118384 IL Primary

Addresses

Primary practice location

3340 Oak Park Ave
314
Berwyn, IL 60402-3420

Mailing address

3340 Oak Park Ave
314
Berwyn, IL 60402-3420

National Provider Directory

National Provider Directory

Locations

3340 Oak Park Ave
Ste 314
Berwyn, IL 60402
Phone (309) 973-4137

NPI Registry JSON

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1215251269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 OAK PARK AVE",
            "address_2": "314",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 OAK PARK AVE",
            "address_2": "314",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023420",
            "telephone_number": "309-973-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PAIN SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-19",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "SUNDAR",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "520-609-9836"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "IL",
            "license": "036118384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.