Organization Active NPI

S Harsoor MD SC

Doing business as Illinois Pain Management

  • Pain Medicine (Anesthesiology) Physician
  • Chicago, IL
National Provider Identifier
1275756769
Registry record updated Aug 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
036-106992 Issued in IL
Legal business name
S HARSOOR MD SC
Doing business as
Illinois Pain Management
Practice address
2315 E 93Rd St
Suite #: 237
Chicago, IL 60617-3936
Phone
(630) 229-5701
NPI assigned
Apr 11, 2007
Last updated
Aug 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2009

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

Authorized official

Name
Suneela Harsoor, M.D.
Title
President
Phone
(630) 229-5701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 036-106992 IL Primary

Addresses

Primary practice location

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

Mailing address

PO Box 3307
Oak Brook, IL 60522-3307

Other names 1

  • ILLINOIS PAIN MANAGEMENT Doing business as

National Provider Directory

National Provider Directory

Locations

2315 E 93rd St
Ste 338
Chicago, IL 60617
Phone (773) 734-2920

Practitioners & affiliated clinicians

Practitioners 3

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": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250035200000",
    "number": "1275756769",
    "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"
        },
        {
            "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": "630-229-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S HARSOOR MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2009-08-12",
        "status": "A",
        "authorized_official_last_name": "HARSOOR",
        "authorized_official_first_name": "SUNEELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-229-5701",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036-106992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ILLINOIS PAIN MANAGEMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 12, 2009; 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.