Illinois Pain Management S C

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

ILLINOIS PAIN MANAGEMENT S C

Practice address

2315 E 93Rd St
Suite 237
Chicago, IL 60617-3936

Phone

(773) 731-0500

Fax

(312) 277-7333

NPI assigned

Oct 25, 2007

Last updated

Oct 25, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Suneela Harsoor, M.D.NPI 1326035510

Title

President

Phone

(847) 912-1566

Specialties & licenses 3

Addresses

Other names 1

• HOLISTIC PAIN CLINIC Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Suneela Harsoor, MD

  • Pain Medicine (Anesthesiology) Physician
  • Hinsdale, IL
  • NPI 1326035510
  Authorized official Same address or phone

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1255510269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3307",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605223307",
            "telephone_number": "630-887-9233",
            "fax_number": "630-887-9234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 E 93RD ST",
            "address_2": "SUITE 237",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173936",
            "telephone_number": "773-731-0500",
            "fax_number": "312-277-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS PAIN MANAGEMENT S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "HARSOOR",
        "authorized_official_first_name": "SUNEELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-912-1566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOLISTIC PAIN CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Illinois Medical Specialists PC
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• Illinois Mobile Therapy Group LLC
• Illinois Orthopedic Network, LLC
• Illinois Pain and Therapy Associates Inc.
• Illinois Pharmacy Management, LLC
• Illinois Physicians Alliance, LLC
• Illinois Physicians Network, LLC
• Illinois Physicians Wellness Group LLC
• Illinois Professional Medical Services PLLC

• Interventional Pain Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Interventional Pain Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.