Organization Active NPI

Yashar Ghoreshi DC LTD Advanced Health & Pain Center

  • Pain Medicine (Anesthesiology) Physician
  • Chicago, IL
National Provider Identifier
1275272718
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
YASHAR GHORESHI DC LTD ADVANCED HEALTH & PAIN CENTER
Practice address
2016 W Chicago Ave FL 1
Chicago, IL 60622-5548
Phone
(312) 620-3692
Fax
(312) 668-8603
NPI assigned
Jun 2, 2022
Last updated
Mar 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Authorized official

Name
Dr. Yashar Ghoreshi, DCNPI 1538595855
Title
President
Phone
(312) 620-3692

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X
Pain Medicine (Anesthesiology) Physician 207LP2900X Primary
Physical Therapist 225100000X
Nurse Practitioner 363L00000X

Addresses

Primary practice location

2016 W Chicago Ave FL 1
Chicago, IL 60622-5548

Mailing address

2016 W Chicago Ave FL 1
Chicago, IL 60622-5548
Phone (312) 620-3692

National Provider Directory

National Provider Directory

Locations

2016 W Chicago Ave
#1
Chicago, IL 60622
Phone (312) 620-3692

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1275272718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 W CHICAGO AVE FL 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225548",
            "telephone_number": "312-620-3692",
            "fax_number": "312-668-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 W CHICAGO AVE FL 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225548",
            "telephone_number": "312-620-3692",
            "fax_number": "312-668-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YASHAR GHORESHI DC LTD ADVANCED HEALTH & PAIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "GHORESHI",
        "authorized_official_first_name": "YASHAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-620-3692",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Mar 9, 2023; 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.