Pain-Free Living Services of Illinois, S.C.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

036083677 Issued in IL

Legal business name

PAIN-FREE LIVING SERVICES OF ILLINOIS, S.C.

Practice address

6785 Weaver Rd
Ste D
Rockford, IL 61114-8055

Phone

(920) 633-8586

NPI assigned

Jun 16, 2008

Organization subpart

No

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

Authorized official

Name

David S Footerman, MD

Title

President

Phone

(920) 451-8142

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1316107097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6785 WEAVER RD",
            "address_2": "STE D",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611148055",
            "telephone_number": "920-633-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6785 WEAVER RD",
            "address_2": "STE D",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611148055",
            "telephone_number": "920-633-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN-FREE LIVING SERVICES OF ILLINOIS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "FOOTERMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-451-8142",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036083677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Carolina Padron, DMD
• Andrea Padron, BSN
• Ixchel Pagan, LMT
• Pain Centers of Chicago LLC
• Pain Management Associates, LTD
• Daniel Clark Painter, M.D.
• John Anthony Pakiela, DO
• Andrew J Palazzolo, M.D.
• Nichole Sabrina Palmeno-Gonzalez, CNA
• Anita Palmer-Hall, O.D.

• Pain Medicine (Anesthesiology) Physician in Rockford, IL
• Providers in Rockford, IL by specialty
• Pain Medicine (Anesthesiology) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.