NPIMap

Organization Active NPI

Universal Pain Management Institute LTD

  • Pain Medicine Physician
  • Bourbonnais, IL
National Provider Identifier
1275846958
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
UNIVERSAL PAIN MANAGEMENT INSTITUTE LTD
Practice address
461 Brown Blvd
Suite a
Bourbonnais, IL 60914-2463
Phone
(815) 932-7242
Fax
(815) 932-7307
NPI assigned
Jul 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Authorized official

Name
Andrewnita Roland
Title
Practice Manager
Phone
(815) 932-7242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

461 Brown Blvd
Suite a
Bourbonnais, IL 60914-2463

Mailing address

461 Brown Blvd
Suite a
Bourbonnais, IL 60914-2463
Phone (815) 932-7242

National Provider Directory

National Provider Directory

Locations

461 Brown Blvd
Ste A
Bourbonnais, IL 60914
Phone (815) 932-7242

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1275846958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 BROWN BLVD",
            "address_2": "SUITE A",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142463",
            "telephone_number": "815-932-7242",
            "fax_number": "815-932-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 BROWN BLVD",
            "address_2": "SUITE A",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142463",
            "telephone_number": "815-932-7242",
            "fax_number": "815-932-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL PAIN MANAGEMENT INSTITUTE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-22",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "ROLAND",
        "authorized_official_first_name": "ANDREWNITA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "815-932-7242"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourbonnais, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.