Chicago Pain Relief PC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

036128363 Issued in IL

Legal business name

CHICAGO PAIN RELIEF PC

Practice address

6715 Kingery Hwy
Willowbrook, IL 60527-5142

Phone

(630) 537-1125

NPI assigned

Oct 12, 2017

Last updated

Oct 12, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maria Davila

Title

Manager

Phone

(630) 537-1125

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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.

• Shivani Chadha, M.D.

  • Interventional Pain Medicine Physician
  • Willowbrook, IL
  • NPI 1376710210
  Medicare reassignment
• Susan L Peluchiwski, CRNA

  • Certified Registered Nurse Anesthetist
  • Hoffman Estates, IL
  • NPI 1437158086
  Medicare reassignment

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507766400000",
    "number": "1356852735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 KINGERY HWY",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605275142",
            "telephone_number": "630-537-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 KINGERY HWY",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605275142",
            "telephone_number": "630-537-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO PAIN RELIEF PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2017-10-12",
        "status": "A",
        "authorized_official_last_name": "DAVILA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-537-1125"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036128363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smita Charate, P.T.
• Chateau Nursing and Rehabilitation Center, LLC
• Edward M Chen, PHARMD
• Jessie S. Cheung, MD
• Grace Catherine Chiaro-Bolch, PHARM.D.
• Chirosource, LTD.
• Howard Chiu, DPT
• Sonal N Choudhary
• Angelica Nicole Chrzascik
• Ben Chunprapaph, D,D,S.

• Pain Medicine (Anesthesiology) Physician in Willowbrook, IL
• Providers in Willowbrook, 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 Oct 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.