Organization Active NPI

The Pain & Rehabilitation Clinic of Chicago

  • Psychologist
  • Chicago, IL
National Provider Identifier
1346296894
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
THE PAIN & REHABILITATION CLINIC OF CHICAGO
Practice address
640 N Lasalle St
Suite 610
Chicago, IL 60610-3781
Phone
(312) 337-6661
NPI assigned
May 26, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
E Richard Blonsky, MD
Title
Owner / Physician
Phone
(312) 337-6661

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary
Neurology Physician 2084N0400X

Addresses

Primary practice location

640 N Lasalle St
Suite 610
Chicago, IL 60610-3781

Mailing address

640 N Lasalle St
Suite 610
Chicago, IL 60610-3781

Other identifiers 1

IdentifierTypeStateIssuer
0001619207OtherILBCBS

National Provider Directory

National Provider Directory

Locations

640 N La Salle Dr
Ste 610
Chicago, IL 60654

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": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1346296894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 N LASALLE ST",
            "address_2": "SUITE 610",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606103781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 N LASALLE ST",
            "address_2": "SUITE 610",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606103781",
            "telephone_number": "312-337-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PAIN & REHABILITATION CLINIC OF CHICAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BLONSKY",
        "authorized_official_first_name": "E",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "312-337-6661",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0001619207",
            "state": "IL"
        }
    ],
    "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 Sep 11, 2025; 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.