Comprehensive Pain & Rehabilitation Center P C

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

036.056212 Issued in IL

Legal business name

COMPREHENSIVE PAIN & REHABILITATION CENTER P C

Practice address

7300 N Cicero Ave
Lincolnwood, IL 60712-1641

Phone

(847) 763-8010

Fax

(847) 763-8012

NPI assigned

Apr 27, 2010

Organization subpart

No

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

Authorized official

Name

Edward Kim

Title

Executive Director

Phone

(773) 816-0141

Specialties & licenses 5

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Moon-Hong Doh, D.C.

  • Internist Chiropractor
  • Riverwoods, IL
  • NPI 1447496179
  NPD (past)
• Won Kyu Lee, D.C

  • Chiropractor
  • Chicago, IL
  • NPI 1578504783
  NPD (past)
• Catherine Y Choi, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Vadnais Heights, MN
  • NPI 1407174790
  NPD (past)

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1437476702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 N CICERO AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121641",
            "telephone_number": "847-763-8010",
            "fax_number": "847-763-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 N CICERO AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121641",
            "telephone_number": "847-763-8010",
            "fax_number": "847-763-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PAIN & REHABILITATION CENTER P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "773-816-0141"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008098",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011280",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "336.057488",
            "primary": false
        },
        {
            "code": "2081N0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "IL",
            "license": "036.056212",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "IL",
            "license": "036.056212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "366760",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra Coglianese
• Neli Cohen, PSYD
• Lora Collison, SLP-CCC
• Klodjana Combi, PHARMD
• Comprehensive Home Health Inc
• Concentra Primary Care of Illinois PC
• Concentra Primary Care of Illinois PC
• Concerto Arizona LLC
• Concerto Connecticut LLC
• Concerto Dialysis LLC

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Lincolnwood, IL
• Providers in Lincolnwood, IL by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.