Active NPI
Immediate Pain Care of Oak Lawn LLC
- Pain Medicine Physician
- Oak Lawn, IL
National Provider Identifier
1366865677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- IMMEDIATE PAIN CARE OF OAK LAWN LLC
- Practice address
- 5116 W 95TH St
Oak Lawn, IL 60453-2458 - Phone
- (708) 581-7070
- Fax
- (630) 701-1007
- NPI assigned
- Jan 23, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stuart Bernsen
- Title
- Ceo
- Phone
- (847) 912-2411
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | Primary | ||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
5116 W 95TH St
Oak Lawn, IL 60453-2458
Mailing address
2625 Butterfield Rd
Ste 301N
Oak Brook, IL 60523-1234
Phone (630) 468-1824
National Provider Directory
National Provider DirectoryLocations
2625 Butterfield Rd
Ste 301N
Oak Brook, IL 60523
Phone (800) 613-0922
5116 W 95th St
Oak Lawn, IL 60453
Phone (708) 398-3226
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Oak Lawn, IL
- NPI 1295881639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391558400000",
"number": "1366865677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 BUTTERFIELD RD",
"address_2": "STE 301N",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231234",
"telephone_number": "630-468-1824",
"fax_number": "630-701-1007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5116 W 95TH ST",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604532458",
"telephone_number": "708-581-7070",
"fax_number": "630-701-1007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMMEDIATE PAIN CARE OF OAK LAWN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-23",
"last_updated": "2014-02-05",
"status": "A",
"authorized_official_last_name": "BERNSEN",
"authorized_official_first_name": "STUART",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "847-912-2411"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.