Terri L Dallas-Prunskis, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

036073541 Issued in IL

Practice address

4309 Medical Center Dr
B103
McHenry, IL 60050

Phone

(815) 363-9595

Fax

(815) 578-4530

NPI assigned

Jul 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Illinois Pain Treatment Institute, LTD

  • Interventional Pain Medicine Physician
  • Elgin, IL
  • NPI 1295811479
  Medicare reassignment NPD
• Pinnacle Anesthesia, LTD

  • Anesthesiology Physician
  • Elgin, IL
  • NPI 1205103777
  Medicare reassignment NPD
• Barrington Pain and Spine Institute, LLC

  • Ambulatory Surgical Clinic/Center
  • Barrington, IL
  • NPI 1619244175
  NPD
• Illinois Pain Treatment Institute, LTD

  • Pain Clinic/Center
  • Libertyville, IL
  • NPI 1417758483
  NPD

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1457375115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 SUMMIT",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "60120",
            "telephone_number": "847-289-8822",
            "fax_number": "847-289-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 MEDICAL CENTER DR",
            "address_2": "B103",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "60050",
            "telephone_number": "815-363-9595",
            "fax_number": "815-578-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLAS-PRUNSKIS",
        "first_name": "TERRI",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IL",
            "license": "036073541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Marie Cyrier, OTD, OTR/L
• D. Gill Speech, Inc.
• Gretchen Ann Dabrowski, CNM
• Phyllis Ruth Dalla Betta, FNP
• Izabela Maria Dalla Valle
• Sana Damani
• Logan Carl Daniels
• John V Dano
• Amy Marie Dapper
• Tathagato Das, M.D.

• Interventional Pain Medicine Physician in McHenry, IL
• Providers in McHenry, IL by specialty
• Interventional Pain Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.