Organization Active NPI

United Pain Surgicore SC

  • Ambulatory Surgical Clinic/Center
  • Hazel Crest, IL
National Provider Identifier
1417286378
Registry record updated Dec 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
042619555 Issued in IL
Legal business name
UNITED PAIN SURGICORE SC
Practice address
3330 W 177TH Street
Hazel Crest, IL 60429-0000
Phone
(630) 267-0299
NPI assigned
Dec 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2009

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

Authorized official

Name
Dr. Volodimir Markiv
Title
Owner
Phone
(630) 267-0299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 042619555 IL Primary

Addresses

Primary practice location

3330 W 177TH Street
Hazel Crest, IL 60429-0000

Mailing address

P.O Box 129
Plainfield, IL 60544-0129
Phone (630) 267-0299

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261526400000",
    "number": "1417286378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 129",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605440129",
            "telephone_number": "630-267-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 W 177TH STREET",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604290000",
            "telephone_number": "630-267-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED PAIN SURGICORE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-23",
        "last_updated": "2009-12-23",
        "status": "A",
        "authorized_official_last_name": "MARKIV",
        "authorized_official_first_name": "VOLODIMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-267-0299",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": "042619555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazel Crest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; 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.