Chicago Spine and Joint, S.C.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

CHICAGO SPINE AND JOINT, S.C.

Practice address

1129 W 159TH St
Orland Park, IL 60467

Phone

(708) 482-4500

NPI assigned

Jan 8, 2026

Organization subpart

No

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

Authorized official

Name

Alexis Goedert

Title

Ceo

Phone

(773) 416-1013

Specialties & licenses 1

Addresses

Tax ID family

G L Koehn MD Associates SC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Chicago Spine and Joint, S.C.

  • Pain Medicine (Anesthesiology) Physician
  • Morris, IL
  • NPI 1093330516
  NPD tax ID
• Chicago Spine and Joint, S.C.

  • Pain Medicine (Anesthesiology) Physician
  • New Lenox, IL
  • NPI 1255956777
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Farooq Anwar Khan, MD

  • Interventional Pain Medicine Physician
  • Hinsdale, IL
  • NPI 1104082320
  NPD (past)

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

{
    "created_epoch": "1767830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1407713613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 N ELM ST STE 101",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213644",
            "telephone_number": "708-485-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 W 159TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "60467",
            "telephone_number": "708-482-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO SPINE AND JOINT, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-08",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "GOEDERT",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-416-1013"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chicago Rehabilitation Consultants LLC
• Chicagoland Foot and Ankle PC
• Jennifer Elizabeth Chicoine, M.A., LCPC, CCTP
• Children'S Therapy Services
• Childrens Wellness Center LLC
• Joseph Chimienti

• Pain Medicine (Anesthesiology) Physician in Orland Park, IL
• Providers in Orland Park, 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 May 20, 2026; 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.