Organization Active NPI

Pain Net Medical Group

  • Multi-Specialty Clinic/Center
  • Chicago, IL
National Provider Identifier
1376669721
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PAIN NET MEDICAL GROUP
Practice address
5252 N Western Ave
Chicago, IL 60625-2448
Phone
(773) 878-7909
Fax
(773) 878-2311
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Marc Strongin, D.C.
Title
Business Administration
Phone
(773) 878-7909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X IL Primary

Addresses

Primary practice location

5252 N Western Ave
Chicago, IL 60625-2448

Mailing address

5252 N Western Ave
Chicago, IL 60625-2448
Phone (773) 878-7909

Other identifiers 1

IdentifierTypeStateIssuer
1633119OtherBLUE CROSS BLUE SHEILD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376669721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252448",
            "telephone_number": "773-878-7909",
            "fax_number": "773-878-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5252 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252448",
            "telephone_number": "773-878-7909",
            "fax_number": "773-878-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN NET MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STRONGIN",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATION",
        "authorized_official_telephone_number": "773-878-7909",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "1633119",
            "state": null
        }
    ],
    "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 Aug 22, 2020; 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.