Elite Pain LTD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

ELITE PAIN LTD

Practice address

8630 S Pulaski Rd
Chicago, IL 60652-3633

Phone

(773) 762-8132

Fax

(773) 762-8133

NPI assigned

Jan 5, 2011

Organization subpart

No

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

Authorized official

Name

Alanna Jefferson, CPC

Title

Coder

Phone

(312) 882-7578

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1386948321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13011 RIDGEWOOD DR",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604642512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606523633",
            "telephone_number": "773-762-8132",
            "fax_number": "773-762-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PAIN LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "ALANNA",
        "authorized_official_title_or_position": "CODER",
        "authorized_official_telephone_number": "312-882-7578",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Medical Supplies, Inc.
• Elite Mediride LLC
• Elite Optical Look Dba Pearle Vison
• Elite Orthopaedics and Sports Medicine, LLC
• Elite Pain & Spine PLLC
• Elite Pathology Lab Inc
• Elite Practitioner LLC
• Elite Rehab Services
• Elite Surgical Assisting LLC
• Elite Testing LLC

• Anesthesiology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.