NPIMap

Organization Active NPI

Chicago Pain & Headache Clinic LTD

  • Medical Specialty Clinic/Center
  • Chicago, IL
National Provider Identifier
1225290042
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
036117439 Issued in IL
Legal business name
CHICAGO PAIN & HEADACHE CLINIC LTD
Practice address
3314 W 26TH St
Chicago, IL 60623-4035
Phone
(773) 277-7700
Fax
(773) 277-5100
NPI assigned
Jul 2, 2008
Last updated
Jul 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Dr. Bernardo Saavedra, MD
Title
Medical Director
Phone
(773) 277-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 036117439 IL Primary

Addresses

Primary practice location

3314 W 26TH St
Chicago, IL 60623-4035

Mailing address

3314 W 26TH St
Chicago, IL 60623-4035
Phone (773) 277-7700

National Provider Directory

National Provider Directory
Tax ID family
Chicago Pain Headache Clinic LTD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3314 W 26th St
Chicago, IL 60623
Phone (773) 521-8160

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1225290042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3314 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234035",
            "telephone_number": "773-277-7700",
            "fax_number": "773-277-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3314 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234035",
            "telephone_number": "773-277-7700",
            "fax_number": "773-277-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO PAIN & HEADACHE CLINIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "SAAVEDRA",
        "authorized_official_first_name": "BERNARDO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "773-277-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "036117439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.