NPIMap

Organization Active NPI

Illinois Center for Pain Control LLC

Doing business as The Vanguard Medical Group

  • Pain Medicine (Anesthesiology) Physician
  • Michigan City, IN
National Provider Identifier
1437556941
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
ILLINOIS CENTER FOR PAIN CONTROL LLC
Doing business as
The Vanguard Medical Group
Practice address
10176 W 400 N
Suite B
Michigan City, IN 46360-9008
Phone
(219) 809-9839
Fax
(219) 809-9841
NPI assigned
Nov 26, 2014
Last updated
Apr 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Authorized official

Name
Syed M Quadri, DONPI 1992926307
Title
President
Phone
(312) 262-6434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X NU Primary

Addresses

Primary practice location

10176 W 400 N
Suite B
Michigan City, IN 46360-9008

Mailing address

10176 W 400 N
Suite B
Michigan City, IN 46360-9008
Phone (219) 809-9839

Other names 1

  • The Vanguard Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160919001561 IN Part B Supplier - Clinic/Group Practice 4688999550 Receives reassigned benefits from 9 practitioners
Practice locations: Michigan City, IN
O20221115000663 IL Part B Supplier - Clinic/Group Practice 4688999550 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL; Lincolnwood, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2120720Illinois Center for Pain Control10176 W 400 N Suite a, Michigan City, IN 46360ComplianceFeb 5, 2027

National Provider Directory

National Provider Directory

Locations

10176 W 400 N
Michigan City, IN 46360
Phone (219) 214-2047

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1437556941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10176 W 400 N",
            "address_2": "SUITE B",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463609008",
            "telephone_number": "219-809-9839",
            "fax_number": "219-809-9841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10176 W 400 N",
            "address_2": "SUITE B",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463609008",
            "telephone_number": "219-809-9839",
            "fax_number": "219-809-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS CENTER FOR PAIN CONTROL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "QUADRI",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-262-6434",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Vanguard Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Vanguard Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Michigan City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.