Organization Active NPI

River North Pain Management Consultants SC

  • Interventional Pain Medicine Physician
  • Wilmette, IL
National Provider Identifier
1356654420
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
RIVER NORTH PAIN MANAGEMENT CONSULTANTS SC
Practice address
1213 Wilmette Ave
Suite # 2G
Wilmette, IL 60091-2566
Phone
(888) 951-6471
Fax
(888) 961-6471
NPI assigned
Jul 19, 2010
Last updated
May 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Authorized official

Name
Dr. Axel Vargas, M.D.NPI 1083698526
Title
Owner
Phone
(888) 951-6471

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

1213 Wilmette Ave
Suite # 2G
Wilmette, IL 60091-2566

Mailing address

1049 Forest Ave
Wilmette, IL 60091-1759
Phone (888) 951-6471

National Provider Directory

National Provider Directory

Locations

1213 Wilmette Ave
Wilmette, IL 60091

1213 Wilmette Ave
Ste 2G
Wilmette, IL 60091
Phone (888) 951-6471

Practitioners & affiliated clinicians

Practitioners 1

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": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1356654420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 FOREST AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911759",
            "telephone_number": "888-951-6471",
            "fax_number": "888-961-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 WILMETTE AVE",
            "address_2": "SUITE # 2G",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912566",
            "telephone_number": "888-951-6471",
            "fax_number": "888-961-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER NORTH PAIN MANAGEMENT CONSULTANTS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-19",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "AXEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-951-6471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmette, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.